go back

Maryland rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.07 / $1,199.78 / $5,568.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.47 / $1,166.59 / $1,414.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.23 / $1,421.48 / $3,288.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.19 / $1,447.29 / $2,316.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.30 / $1,252.46 / $2,146.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.79 / $1,251.42 / $1,556.13