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Vermont rates for HCPCS 52315

Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.19 / $449.89 / $1,436.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.16 / $497.35 / $1,706.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.37 / $617.49 / $1,706.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.38 / $661.33 / $2,094.17