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Nebraska rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $7,244.36 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,398.83 / $3,235.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,344.23 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,187.76 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,454.71 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $1,905.46 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,370.32 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $2,630.27