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Vermont 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
$4,786.30 / $4,786.30 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $524.81 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $512.86 / $1,096.48