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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
$30.90 / $58.88 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $57.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $24.55 / $42.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $31.62 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $31.62