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Indiana rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $315.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.70 / $315.43 / $415.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.34 / $243.13 / $540.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $46.57 / $200.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,416.73 / $16,416.73 / $23,216.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $125.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.10 / $55.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $21.46 / $40.22