go back

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
$954.99 / $3,890.45 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $831.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $676.08
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $562.34 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,691.53 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $1,071.52
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $794.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $691.83 / $933.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $371.54 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $371.54 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $724.44