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Oklahoma 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
$72.44 / $79.43 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $91.20 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $35.48 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $77.62 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $26.92