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Arizona rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.93 / $1,097.07 / $5,568.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,106.86 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.18 / $981.58 / $1,226.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,049.52 / $3,049.52 / $3,049.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.64 / $1,292.94 / $2,322.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.93 / $1,460.76 / $3,892.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.35 / $1,250.70 / $8,061.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,155.00 / $2,021.82