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Michigan 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
$417.85 / $3,482.75 / $5,999.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.84 / $417.70 / $625.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.30 / $2,070.34 / $2,804.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $178.42 / $337.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $293.30 / $322.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.45 / $376.73 / $400.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.61 / $360.39 / $665.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.74 / $3,456.05 / $5,999.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.01 / $415.26 / $625.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $254.62 / $382.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $5,048.00 / $7,355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.42 / $513.88 / $678.99