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Utah 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
$616.60 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,025.60 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $537.03 / $1,023.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $776.25