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Illinois rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $121.95 / $8,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $97.56 / $139.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.30 / $3,325.00 / $8,590.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.35 / $85.64 / $134.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $63.40 / $78.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $235.42 / $512.65
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00