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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
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.54 / $971.54 / $5,568.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.27 / $7,559.99 / $14,192.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.15 / $1,604.24 / $2,138.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.28 / $2,437.32 / $3,243.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.40 / $1,845.93 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.22 / $2,458.00 / $8,061.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,785.00 / $2,482.96 / $3,243.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.47 / $2,310.03 / $3,226.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,741.10 / $2,623.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.97 / $2,365.31 / $2,947.25