go back

Michigan 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
$71.08 / $74.81 / $97.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $97.56 / $126.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $20.30 / $35.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $13.46 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $74.81 / $97.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $87.54 / $126.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00