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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
$202.16 / $315.43 / $315.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $315.43 / $500.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $35.31 / $68.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.70 / $315.43 / $441.00