go back

Michigan rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.20 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.13 / $1,319.23 / $1,343.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,763.04 / $3,225.30 / $4,393.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.45 / $1,501.56 / $2,054.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.34 / $1,218.93 / $2,162.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.25 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.25 / $1,193.30 / $1,698.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $887.99 / $1,329.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,396.27 / $1,776.10