go back

Louisiana 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
$74.81 / $97.56 / $97.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $97.56 / $97.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.99 / $87.49 / $129.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $83.20 / $84.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $120.44 / $177.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $74.04 / $120.00