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Vermont 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
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $139.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.93 / $155.93 / $168.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $78.47 / $89.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $78.47 / $89.79