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Pennsylvania rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Facilitymedian $933 · 10th–90th $135$1,6980%10%10th90th$933Professionalmedian $316 · 10th–90th $263$5010%20%40%10th90th$316$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $933.25 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $53.70 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $933.25 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $67.61 / $489.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $67.61 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $141.25 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44