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Louisiana 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 / $72.44 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $87.10 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $91.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $48.98 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $123.03 / $181.97