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Wisconsin rates for HCPCS 89250

Culture of oocyte(s)/embryo(s), less than 4 days;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $3,019.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $3,090.30 / $4,466.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $6,918.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $524.81 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $457.09 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,995.26