go back

Washington, DC rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.82 / $5,076.00 / $6,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.82 / $1,205.82 / $1,205.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,166.59 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.06 / $1,471.47 / $3,569.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.67 / $2,364.80 / $2,364.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.65 / $1,540.08 / $3,073.06