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West Virginia rates for HCPCS 54901

Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.42 / $1,070.42 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.80 / $1,083.48 / $1,205.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.83 / $1,245.83 / $1,245.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.73 / $1,201.73 / $1,201.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.36 / $1,508.17 / $6,417.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.42 / $1,181.70 / $1,910.22