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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
$29.58 / $52.50 / $1,453.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $24.65 / $1,453.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.27 / $31.60 / $75.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $5.51 / $23.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $36.97 / $51.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $33.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $13.27 / $31.60