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Alaska rates for HCPCS 55200

Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.83 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.34 / $1,787.32 / $2,200.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.34 / $942.34 / $1,324.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.74 / $2,051.07 / $2,871.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.70 / $1,770.30 / $2,539.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.59 / $1,556.55 / $2,472.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.74 / $2,051.07 / $2,871.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.28 / $1,440.00 / $2,472.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.78 / $1,598.70 / $3,448.18