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Georgia 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 / $89.13 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $66.07 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $33.11 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $83.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $46.77 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $194.98 / $323.59