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California rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.27 / $9,275.92 / $18,477.91
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,236.96 / $14,689.18 / $18,303.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,484.00 / $16,676.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,724.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.60 / $1,433.09 / $3,376.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $375.60 / $563.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.50 / $425.75 / $760.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.44 / $5,444.45 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.73 / $453.86 / $722.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.00 / $7,359.00 / $15,471.00