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Nevada 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
$23.99 / $60.26 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $26.30 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $19.05 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $37.15 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $51.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $31.62