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Massachusetts rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,630.78 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $3,388.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,128.61 / $33,884.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $3,715.35
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,096.48 / $1,621.81
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $2,951.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,370.32 / $33,884.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $3,548.13