go back

New York 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
$253.97 / $3,978.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.69 / $220.29 / $344.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,366.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.75 / $186.08 / $445.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.87 / $262.87 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.87 / $262.87 / $262.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.83 / $210.83 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.86 / $279.57 / $630.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.42 / $286.16 / $610.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.42 / $276.86 / $385.07
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $267.60 / $390.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.83 / $210.83 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.48 / $276.52 / $617.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,884.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.52 / $218.42 / $519.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.99 / $245.99 / $657.35
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.15 / $272.05 / $513.57