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Vermont rates for HCPCS 50980

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $1,479.11