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Maine rates for HCPCS 55200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $776.25