go back

Maryland rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.30 / $181.72 / $215.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $105.00 / $120.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $42.70 / $63.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.00 / $307.00 / $307.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $21.68 / $21.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32