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Louisiana 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
$400.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.12 / $264.69 / $326.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.62 / $128.22 / $212.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.76 / $272.95 / $358.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $162.54 / $162.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.91 / $350.91 / $350.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.65 / $259.98 / $355.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $580.00 / $1,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.04 / $220.55 / $364.34