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Ohio 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
$104.02 / $176.05 / $364.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $117.42 / $126.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $118.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,100.32 / $12,652.01 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $58.73 / $348.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $57.25 / $78.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $52.26 / $348.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $41.69 / $57.25