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Washington, DC 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
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $95.50 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $87.10 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $251.19 / $288.40