go back

Oregon rates for HCPCS 0255U

Andrology Infertility Sperm Capacitation Assmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.77 / $78.77 / $137.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $30.65 / $30.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $79.08 / $91.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $36.34 / $45.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $77.31 / $83.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $31.60 / $65.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $31.60 / $42.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $33.18 / $44.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $30.65 / $79.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $34.76 / $44.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.13 / $102.32 / $124.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $37.85 / $77.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $13.27 / $37.92