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Alaska rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.71 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,568.44 / $5,919.82 / $6,879.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,649.59 / $3,649.59 / $3,649.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.17 / $5,919.82 / $8,465.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.69 / $6,665.40 / $8,716.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,967.50 / $4,602.30 / $6,736.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.17 / $5,919.82 / $8,465.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.03 / $4,582.50 / $6,821.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.82 / $2,927.42 / $9,500.15