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Alaska rates for HCPCS 55250

Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.44 / $6,411.13 / $10,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.41 / $448.61 / $1,763.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.77 / $760.77 / $1,141.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.76 / $1,752.18 / $2,469.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.25 / $1,467.90 / $2,183.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.55 / $1,302.00 / $2,176.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.76 / $1,752.18 / $2,469.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.73 / $1,201.20 / $2,176.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,097.02 / $4,097.02 / $4,097.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.05 / $976.34 / $2,970.25