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Louisiana rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.16 / $315.43 / $315.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $315.43 / $455.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.99 / $82.92 / $118.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $3.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $120.44 / $177.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $150.00 / $292.79