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Tennessee 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
$508.80 / $2,311.00 / $7,239.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.42 / $418.39 / $1,153.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.19 / $387.19 / $387.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.71 / $385.47 / $679.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.38 / $395.71 / $722.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.59 / $1,172.68 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.48 / $3,041.38 / $3,132.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.00 / $3,597.00 / $6,644.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.37 / $549.49 / $828.41