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Delaware 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
$36.34 / $36.34 / $36.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $26.23 / $26.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $15.17 / $31.60