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Arizona 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
$142.04 / $142.04 / $142.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $117.42 / $139.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.84 / $337.67 / $561.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.88 / $129.28 / $184.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $90.61 / $160.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.80 / $97.56 / $140.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $132.00 / $132.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $132.00 / $132.00