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North Dakota 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 / $28.84 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $63.10 / $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
$21.88 / $38.02 / $151.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $31.62 / $45.71