| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.68 | $81.51 | $282.00 | |
HMSA
| Professional | $48.95 | $57.59 | $68.75 |
Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.68 | $81.51 | $282.00 | |
HMSA
| Professional | $48.95 | $57.59 | $68.75 |