go back

Utah rates for HCPCS 55250

Vasectomy Uni/Bi Spx W/Postop Semen Exams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.98 / $3,534.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.30 / $495.92 / $812.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.62 / $417.67 / $588.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.54 / $214.69 / $293.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,962.05 / $3,861.91 / $5,627.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.57 / $439.07 / $594.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.56 / $439.99 / $765.69