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Maine rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $85.92 / $282.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.53 / $105.53 / $105.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $18.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $85.92 / $282.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $14.88 / $14.88