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Pennsylvania rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.98 / $150.12 / $481.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $90.98 / $282.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.75 / $8,459.92 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $91.50 / $91.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.57 / $67.08 / $144.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $20.65 / $47.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.01 / $184.61 / $239.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.08 / $166.49 / $481.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $105.00 / $324.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $82.90 / $144.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $18.37 / $18.37