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Ohio rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,611.13 / $5,201.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.48 / $1,083.48 / $2,098.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,576.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.07 / $1,173.64 / $2,034.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.45 / $1,484.38 / $1,484.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.34 / $1,099.34 / $1,115.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.18 / $1,399.17 / $2,152.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.08 / $1,504.03 / $2,079.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $999.38 / $1,435.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.39 / $1,293.59 / $2,222.30