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Louisiana rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.50 / $45.60 / $166.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $35.08 / $41.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $222.58 / $239.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $15.80 / $47.40