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Connecticut rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.32 / $92.32 / $121.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.32 / $105.00 / $120.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.04 / $102.18 / $158.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $33.32 / $149.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.49 / $83.90 / $163.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $132.16 / $213.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $20.65 / $165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $190.01