go back

Oregon 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
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $100.00 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $363.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $239.88 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $1,659,586.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $169.82 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95