go back

Hawaii rates for HCPCS 55200

Vasotomy Cannulization W/Wo Vas Inc Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.80 / $441.29 / $546.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.47 / $491.91 / $558.87
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.20 / $542.59 / $688.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.01 / $432.88 / $550.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.40 / $497.84 / $682.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.03 / $1,958.52 / $5,287.00