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New Hampshire rates for HCPCS 89259

Cryopreservation; sperm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $165.96 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $288.40 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $501.19 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $426.58 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $478.63