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Minnesota rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.98 / $90.98 / $90.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $105.00 / $296.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.44 / $115.58 / $222.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $172.92 / $172.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.92 / $308.25 / $735.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.79 / $134.27 / $178.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.12 / $279.55 / $579.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $167.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.40 / $106.73 / $176.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $405.48 / $445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.41 / $50.14 / $50.14