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Alaska rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $8,317.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,090.30 / $7,413.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $6,165.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,888.44 / $8,511.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,023.29 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,951.21 / $7,244.36