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Wisconsin rates for HCPCS 89257

Sperm identification from aspiration (other than seminal fluid)

Facilitymedian $138 · 10th–90th $6–$3160%20%10th90th$138Professionalmedian $316 · 10th–90th $43–$4790%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.09 / $14.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $316.23 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $316.23 / $457.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $60.26 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $165.96