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Nebraska 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 / $299.89 / $330.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.98 / $105.00 / $217.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.65 / $179.60 / $350.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $152.00 / $164.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $167.12 / $208.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $90.98 / $172.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.57 / $320.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.93 / $238.36 / $245.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.93 / $160.93 / $160.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.57 / $320.20