go back

Arizona rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $4,521.00 / $7,960.15
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,358.50 / $12,358.50 / $35,553.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.28 / $473.73 / $3,790.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00