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Vermont rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.03 / $510.75 / $1,609.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.67 / $621.67 / $732.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.10 / $478.81 / $1,588.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.07 / $617.15 / $1,588.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.85 / $590.02 / $1,949.13