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Massachusetts 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
$109.65 / $147.91 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $100.00 / $302.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $107.15 / $186.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $72.44 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $83.18 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $77.62
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $85.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $128.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $107.15 / $186.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $35.48 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $147.91