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Oklahoma 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
$74.81 / $97.56 / $97.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $93.52 / $97.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $41.37 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.55 / $97.56 / $117.42