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Kentucky rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.98 / $90.98 / $105.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $105.00 / $120.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $49.98 / $49.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $200.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $48,999.51 / $48,999.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42,349.58 / $42,349.58 / $42,349.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $24.31 / $68.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $132.16 / $411.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00