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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
$90.98 / $90.98 / $8,980.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $90.98 / $120.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $43.14 / $63.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $88.77 / $172.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $106.79 / $132.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.98 / $90.98 / $282.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.91 / $117.91 / $117.91