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Michigan rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.14 / $72.78 / $90.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $90.98 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.03 / $20.30 / $35.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $13.46 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $105.73 / $132.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $72.78 / $90.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.19 / $84.17 / $105.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00