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Maine rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.95 / $97.95 / $126.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.53 / $105.53 / $105.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $18.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $97.95 / $139.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88