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Virginia rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.08 / $5,360.00 / $9,975.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $642.73 / $800.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.60 / $670.85 / $920.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.19 / $910.11 / $5,036.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.50 / $759.59 / $1,410.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.91 / $651.50 / $803.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.00 / $788.81 / $1,155.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.00 / $790.00 / $1,333.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.85 / $757.65 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.85 / $757.65 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $13,741.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.59 / $773.87 / $1,247.31