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Florida 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
$81.28 / $97.72 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $42.66 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $169.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $741.31 / $1,995.26
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $34.67 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $39.81 / $194.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11