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Michigan 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
$352.13 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.92 / $374.33 / $481.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,295.44 / $2,675.42 / $3,624.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $288.61 / $524.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.13 / $381.69 / $638.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.91 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.13 / $449.91 / $644.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.30 / $320.83 / $491.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.37 / $594.89 / $794.82