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Ohio rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.53 / $112.09 / $443.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $106.73 / $282.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $133.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,100.32 / $12,652.01 / $50,749.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $52.26 / $512.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $57.25 / $132.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $53.11 / $348.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $41.69 / $57.25