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Minnesota rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.51 / $950.51 / $8,978.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.51 / $1,061.83 / $1,741.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.39 / $7,215.03 / $14,098.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.02 / $2,736.33 / $3,839.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.27 / $3,602.42 / $8,666.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.23 / $3,473.18 / $4,954.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.06 / $3,293.47 / $6,823.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.24 / $3,111.56 / $4,123.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.96 / $2,112.87 / $7,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.90 / $2,751.97 / $4,255.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.91 / $2,533.75 / $4,243.18