go back

Washington rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.56 / $161.91 / $161.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $97.56 / $139.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $160.40 / $297.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $49.02 / $110.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.19 / $105.71 / $151.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $78.47 / $98.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $131.00 / $238.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.91 / $150.91 / $150.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.58 / $153.47 / $292.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $34.81 / $34.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $41.96