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South Carolina 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 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $165.96 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $109.65 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $131.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $100.00 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $218.78 / $331.13