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Alabama 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
$31.62 / $37.15 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.23 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.12 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.70 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $28.18 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.85 / $31.62