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Massachusetts 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
$457.09 / $2,818.38 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,981.07 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $537.03 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $616.60 / $1,412.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $562.34 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $707.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $1,023.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $4,265.80 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $537.03 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $1,148.15