go back

New Jersey rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.62 / $229.38 / $481.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $105.00 / $120.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.09 / $62.09 / $111.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $16.10 / $20.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.12 / $8,702.00 / $13,785.00