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Minnesota 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
$97.72 / $97.72 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $97.72 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $134.90 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $190.55 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $112.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $169.82 / $363.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $138.04 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $134.90 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.50 / $31.62