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New Mexico 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
$90.98 / $90.98 / $113.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $90.98 / $282.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.70 / $105.39 / $176.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $32.99 / $32.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $90.98 / $90.98