go back

Alaska rates for HCPCS 54900

Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.81 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.60 / $4,471.93 / $5,198.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.34 / $2,755.34 / $2,755.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.59 / $4,471.93 / $6,394.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.08 / $5,058.89 / $6,588.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,011.25 / $3,493.05 / $5,106.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.59 / $4,471.93 / $6,394.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.58 / $3,469.50 / $5,166.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,204.26 / $2,204.26 / $5,510.65