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Maryland 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
$181.97 / $194.98 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $42.66 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89