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Missouri rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.16 / $1,212.61 / $1,295.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.65 / $1,315.89 / $2,170.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.43 / $1,524.53 / $2,764.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.21 / $1,943.30 / $22,240.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.54 / $1,956.79 / $8,061.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.88 / $1,421.55 / $3,298.59