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Arizona rates for HCPCS 89259

Cryopreservation; sperm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $245.47 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $97.72 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $48.98 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $158.49 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $223.87 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $134.90 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90