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Iowa rates for HCPCS 54865

Exploration of epididymis, with or without biopsy

Facilitymedian $3,802 · 10th–90th $603–$8,1280%10%10th90th$3,802Professionalmedian $479 · 10th–90th $331–$1,0470%20%10th90th$479$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,570.40 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $467.74 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $851.14 / $1,047.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $630.96 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,162.28 / $9,332.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $724.44 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $954.99 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $691.83 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,309.57 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,122.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $812.83