go back

Missouri 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
$89.13 / $8,709.64 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $89.13 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $66.07 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $107.15 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $61.66 / $61.66