go back

Kentucky 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
$72.44 / $89.13 / $89.13
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
$50.12 / $50.12 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $251.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,657.95 / $42,657.95 / $42,657.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $426.58 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22