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Nebraska 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 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $173.78 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $186.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $32.36 / $323.59