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Kansas 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
$34.77 / $65.30 / $100.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $31.60 / $33.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $39.50 / $39.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.93 / $51.76 / $71.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.71 / $46.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $24.02 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $18.96 / $53.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $18.96 / $53.72