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Pennsylvania rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.31 / $621.40 / $1,669.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $315.43 / $500.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.57 / $54.53 / $144.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.43 / $621.40 / $1,669.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $455.00 / $630.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $74.13 / $144.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.41 / $67.41 / $67.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.41 / $67.41 / $67.41