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North Dakota 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
$85.11 / $89.13 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $28.18 / $33.11