go back

Wisconsin rates for HCPCS 55400

Vasovasostomy Vasovasorrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.67 / $1,030.58 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $538.67 / $1,662.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.64 / $1,234.42 / $2,815.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.71 / $1,515.31 / $2,444.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.47 / $1,565.42 / $2,075.92
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.67 / $717.21 / $3,906.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.67 / $3,906.49 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.52 / $1,195.05 / $2,634.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.30 / $423.52 / $1,077.26
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.67 / $717.21 / $3,906.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.85 / $1,514.58 / $1,784.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $9,388.90 / $9,388.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.60 / $2,715.00 / $7,500.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.87 / $1,363.87 / $1,363.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.91 / $2,423.60 / $2,423.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.25 / $1,488.51 / $2,382.36