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New York rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.41 / $4,648.00 / $10,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.16 / $1,367.96 / $2,030.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $5,160.00 / $11,809.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.89 / $1,025.16 / $2,573.76
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.85 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.85 / $1,493.85 / $1,493.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.73 / $1,201.73 / $6,511.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.07 / $1,821.77 / $4,130.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,812.00 / $2,899.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.68 / $1,466.11 / $2,147.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.80 / $1,519.05 / $2,122.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,201.73 / $6,511.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.94 / $1,790.58 / $4,088.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.79 / $1,224.56 / $2,941.82
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.25 / $1,406.25 / $3,592.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.94 / $1,519.05 / $2,688.48