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Texas rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $8,709.64 / $8,709.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $1,949.84 / $2,630.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $2,454.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,073.80 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24