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Oklahoma rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $90.98 / $90.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.68 / $105.00 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $74.70 / $108.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $35.31 / $90.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $90.98 / $116.00