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Tennessee 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 / $141.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $97.56 / $126.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $53.43 / $54.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $91.05 / $158.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $78.48 / $160.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.52 / $170.10 / $170.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $74.20 / $120.00