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South Carolina 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 / $90.98 / $130.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.51 / $90.98 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.29 / $179.75 / $304.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $106.09 / $141.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.21 / $149.68 / $235.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $90.98 / $122.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00