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Pennsylvania 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
$346.13 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.03 / $354.36 / $546.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.60 / $389.77 / $643.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.83 / $463.04 / $783.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.38 / $592.52 / $603.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $370.71 / $1,056.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $384.10 / $1,006.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.66 / $460.64 / $794.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.02 / $271.70 / $384.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.02 / $363.78 / $395.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $508.13 / $916.45