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Indiana rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.13 / $2,536.05 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.13 / $1,042.39 / $1,381.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.48 / $1,334.35 / $1,864.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.37 / $1,298.88 / $1,443.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.13 / $1,106.45 / $1,443.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.92 / $1,356.30 / $2,285.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.84 / $1,259.43 / $2,201.73