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Montana 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
$123.00 / $123.00 / $207.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $126.71 / $139.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $82,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00