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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$23.38 / $25.91 / $25.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $38.86 / $38.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $18.96 / $45.58