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Idaho 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
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $134.90 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $120.23 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $138.04 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $141.25