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Indiana 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
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $138.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $165.96 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.92 / $39.81