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Louisiana rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,397.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.54 / $1,514.94 / $1,655.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.58 / $5,468.07 / $7,805.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.96 / $1,542.43 / $1,927.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.36 / $1,368.17 / $1,837.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.89 / $1,336.00 / $2,226.38