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Vermont rates for HCPCS 52301

Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.23 / $396.23 / $1,517.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.27 / $473.19 / $1,013.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.30 / $478.35 / $1,013.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.43 / $416.51 / $1,243.71