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North Carolina 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 / $315.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.70 / $315.43 / $455.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.53 / $932.53 / $932.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.63 / $65.98 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.10 / $39.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.70 / $315.43 / $415.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $418.00 / $441.00