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Kentucky rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.43 / $315.43 / $455.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $315.43 / $455.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $162.00 / $162.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $200.00 / $250.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $48,999.51 / $48,999.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,349.58 / $42,349.58 / $42,349.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $24.31 / $68.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.10 / $756.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00