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Nebraska 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 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $173.78 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $151.36 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $177.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $173.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $32.36 / $323.59