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Florida 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
$20.54 / $26.86 / $136.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $20.54 / $22.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $22.60 / $118.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $38.40 / $48.01
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $18.96 / $37.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $31.60 / $47.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $13.27 / $41.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $18.96 / $18.96