go back

Utah rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.40 / $431.78 / $566.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.40 / $92.32 / $118.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.39 / $45.39 / $45.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $132.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.20 / $103.83 / $149.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $31.33 / $34.81