go back

North Carolina 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 / $274.89 / $392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $90.98 / $122.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.03 / $535.03 / $535.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.15 / $215.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.63 / $65.98 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $105.73 / $132.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $90.98 / $117.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $163.80 / $305.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.17 / $60.17 / $60.17
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00