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Virginia rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.82 / $5,360.00 / $9,975.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.65 / $1,199.78 / $1,492.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.99 / $1,239.13 / $1,699.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.00 / $1,160.47 / $2,274.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.17 / $1,417.92 / $2,631.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.26 / $1,205.10 / $1,486.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.59 / $1,472.46 / $2,160.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.00 / $1,505.04 / $2,463.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.18 / $1,426.65 / $4,283.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.18 / $1,426.65 / $4,283.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.05 / $1,414.88 / $2,326.35