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Nationwide rates for HCPCS 0255U

Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of capacitated sperm and probability of generating a pregnancy score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $54.95 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $48.98 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.37 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $52.48 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $31.62 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $36.31