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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
$1,924.00 / $2,747.00 / $5,039.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.16 / $1,316.96 / $2,613.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,997.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.21 / $2,075.11 / $8,061.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.25 / $2,135.46 / $3,873.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.32 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.38 / $1,205.48 / $1,928.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.07 / $2,592.86 / $3,766.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,525.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.83 / $2,328.84 / $8,061.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.72 / $1,702.70 / $3,780.20