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Illinois rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $137.86 / $8,230.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $93.71 / $282.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.30 / $3,325.00 / $8,590.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.34 / $83.56 / $120.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $106.79 / $132.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $283.44 / $816.78
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00