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Michigan rates for HCPCS 54900

Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.29 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.71 / $1,016.29 / $1,016.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.46 / $2,660.82 / $3,624.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.93 / $787.26 / $1,334.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.14 / $892.57 / $1,636.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.54 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.54 / $889.13 / $1,289.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $688.49 / $1,040.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.57 / $1,032.17 / $1,392.12