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Illinois 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
$93.33 / $512.86 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $2,630.27 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $83.18 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $239.88 / $512.86
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
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $102.33 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72