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Vermont rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.18 / $946.63 / $1,821.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.93 / $799.74 / $3,249.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.30 / $1,106.74 / $3,249.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.88 / $1,392.36 / $3,987.95