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Iowa rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.20 / $321.52 / $413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.98 / $90.98 / $251.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $238.36 / $245.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.62 / $167.12 / $208.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $225.74 / $274.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.98 / $160.59 / $187.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $135.13 / $160.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.93 / $238.36 / $245.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $160.93 / $160.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.86 / $134.00 / $134.00