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Pennsylvania rates for HCPCS 55400

Vasovasostomy, vasovasorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.38 / $503.67 / $634.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,928.32 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.01 / $702.32 / $955.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.02 / $646.62 / $1,045.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.36 / $774.56 / $779.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,125.73 / $11,658.20 / $19,911.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.66 / $558.19 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $770.40 / $1,247.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.98 / $654.16 / $1,092.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.91 / $485.91 / $2,519.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.76 / $487.67 / $2,519.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.47 / $622.45 / $1,010.67