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Vermont rates for HCPCS 50974

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.54 / $640.54 / $2,475.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.38 / $769.15 / $1,648.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $778.86 / $1,648.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.20 / $668.60 / $2,023.07