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Indiana rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $90.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $90.98 / $106.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.65 / $166.60 / $270.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $47.65 / $67.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,416.73 / $16,416.73 / $23,216.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,749.62 / $36,749.62 / $36,749.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $125.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.90 / $105.73 / $132.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.47 / $49.47 / $49.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $21.46 / $40.22