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Pennsylvania rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.00 / $4,264.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.27 / $1,083.48 / $1,343.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.90 / $1,484.99 / $2,079.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.20 / $1,363.86 / $2,175.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.89 / $1,627.14 / $1,632.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,978.18 / $8,978.18 / $8,978.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.27 / $1,135.42 / $4,831.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,397.50 / $2,623.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.52 / $1,377.44 / $2,256.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.41 / $1,027.41 / $1,238.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.90 / $1,032.56 / $1,238.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.62 / $1,314.42 / $2,280.54