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Indiana 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
$49.47 / $49.47 / $97.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $97.56 / $117.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $162.00 / $270.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $81.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,416.73 / $16,416.73 / $23,216.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $125.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $78.47 / $96.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $21.46 / $40.22