go back

California rates for HCPCS 55300

Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.00 / $5,980.00 / $17,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.21 / $197.90 / $758.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,542.00 / $9,589.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $259.55 / $518.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $100.00 / $27,955.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.50 / $207.81 / $503.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.83 / $210.83 / $210.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.06 / $241.77 / $494.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $204.18 / $275.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.22 / $215.72 / $378.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,930.50 / $3,930.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.56 / $1,376.72 / $1,538.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $266.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.27 / $242.25 / $353.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.89 / $270.33 / $502.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.62 / $607.62 / $607.62
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.83 / $226.64 / $287.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $1,523.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.31 / $220.99 / $478.18