go back

Massachusetts rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $136.71 / $561.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $105.00 / $122.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $120.80 / $352.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.15 / $104.82 / $135.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.30 / $88.21 / $145.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.49 / $112.49 / $124.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.30 / $85.99 / $164.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $124.10 / $132.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $20.62 / $163.65
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $331.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $53.65 / $212.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $53.65 / $212.18