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Vermont rates for HCPCS 50976

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.74 / $630.74 / $2,441.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.38 / $758.84 / $1,624.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.99 / $767.64 / $1,624.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.22 / $659.48 / $1,993.86