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Tennessee 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
$72.44 / $79.43 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $91.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $48.98 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $74.13 / $181.97