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New Mexico 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 / $394.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $455.00 / $500.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $32.99 / $32.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $315.43 / $315.43