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Washington 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
$335.92 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.12 / $242.97 / $483.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,930.50 / $3,930.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.94 / $432.21 / $1,567.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $327.52 / $555.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.32 / $380.97 / $509.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.32 / $385.92 / $500.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.77 / $320.14 / $536.05
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.44 / $360.71 / $369.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.07 / $245.07 / $251.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.48 / $426.20 / $516.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.94 / $358.41 / $487.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $666.00 / $6,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.21 / $334.18 / $527.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $194.27 / $194.27