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North Carolina 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
$96.78 / $108.16 / $108.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $97.56 / $139.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.87 / $446.87 / $446.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.70 / $179.70 / $179.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.63 / $65.98 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $62.78 / $78.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $97.56 / $110.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.24 / $141.51 / $141.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.10 / $170.10 / $170.10