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Rhode Island 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
$81.28 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $107.15 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $208.93