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Arizona 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
$1,046.75 / $3,008.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.30 / $452.85 / $1,685.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.61 / $221.61 / $285.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.43 / $251.60 / $349.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.35 / $1,768.35 / $1,768.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.16 / $381.78 / $717.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.35 / $379.09 / $3,533.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.88 / $516.00 / $3,041.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $3,592.00 / $5,307.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.56 / $439.92 / $736.21