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Wisconsin rates for HCPCS 55250

Vasectomy Uni/Bi Spx W/Postop Semen Exams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.24 / $6,082.31 / $7,807.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.40 / $792.33 / $2,478.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $7,344.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.53 / $766.41 / $1,680.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $324.06 / $324.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.45 / $450.36 / $696.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.42 / $1,049.86 / $1,693.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.97 / $728.53 / $1,207.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.27 / $367.74 / $658.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.99 / $658.87 / $8,384.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.03 / $1,224.40 / $2,041.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $248.88 / $664.74
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.27 / $367.24 / $658.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.13 / $770.77 / $1,183.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.59 / $1,084.59 / $1,084.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.70 / $1,430.64 / $3,041.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.19 / $625.19 / $937.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.39 / $1,124.63 / $1,645.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $7,611.00 / $9,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.78 / $1,107.04 / $1,684.33