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Indiana 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
$416.87 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $1,122.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $281.84 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $416.87 / $741.31