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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
$21.88 / $87.10 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $23.44 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $151.36
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $19.05 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.18 / $31.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $31.62