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Utah rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.80 / $318.58 / $417.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $97.56 / $117.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.39 / $45.39 / $45.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $78.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $103.83 / $149.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $31.33 / $34.81