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Massachusetts rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.20 / $110.20 / $168.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $110.20 / $317.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.50 / $105.64 / $170.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.82 / $35.39 / $48.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.30 / $88.21 / $145.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $40.49 / $44.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $91.05 / $164.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $62.78 / $78.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $20.62 / $163.65
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.59 / $105.59 / $119.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.10 / $170.10 / $170.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $53.65 / $53.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $53.65