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Alabama rates for HCPCS 89261

Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.23 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $41.69 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $48.98 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92