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Louisiana rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,630.27 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,370.32 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $1,862.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,949.84