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New Hampshire rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $105.00 / $282.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $90.96 / $194.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $57.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.75 / $178.83 / $219.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.20 / $26.44 / $167.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.15 / $106.46 / $160.79