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Colorado 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 / $109.65 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $91.20 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $13.18 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.42 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.02 / $45.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $23.44