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New Mexico 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
$97.56 / $97.56 / $121.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.71 / $126.71 / $139.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.70 / $105.39 / $176.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $32.99 / $32.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $97.56 / $97.56