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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

Facilitymedian $110 · 10th–90th $105–$2290%50%10th90th$110Professionalmedian $95 · 10th–90th $60–$3630%20%10th90th$95$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $295.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $213.80 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $87.10 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $229.09 / $288.40