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Oklahoma rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,309.57 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,311.31 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,621.81