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Massachusetts 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
$104.71 / $302.00 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $141.25 / $354.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $72.44 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $77.62 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $131.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $85.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $295.12 / $331.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $141.25 / $354.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $61.66 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.79 / $147.91