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Louisiana rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $90.98 / $90.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.98 / $90.98 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.99 / $87.49 / $129.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $114.75 / $124.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $120.44 / $177.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $122.83 / $180.00