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Alaska rates for HCPCS 89260

Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.83 / $126.83 / $126.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $97.56 / $139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $97.56 / $117.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $97.56 / $117.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $20.12 / $20.12