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Arizona rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.71 / $147.71 / $147.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.44 / $455.00 / $500.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $23.51 / $39.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $19.38 / $27.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.87 / $90.61 / $146.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.70 / $315.43 / $456.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $165.00 / $318.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $165.00 / $165.00