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Washington 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 / $523.49 / $523.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $455.00 / $500.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.39 / $153.56 / $297.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $77.81 / $130.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $105.71 / $151.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.10 / $98.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $131.00 / $238.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.58 / $153.56 / $292.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $42.34 / $54.83