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Massachusetts 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
$1,288.25 / $2,754.23 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $501.19 / $1,819.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,981.07 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $501.19 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $549.54 / $1,202.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $354.81 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $407.38 / $630.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $457.09 / $891.25
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $4,786.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $512.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $4,265.80 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $489.78 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $977.24