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Oklahoma rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $223.87 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.48 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $316.23 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $77.62 / $134.90