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Virginia rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $81.22 / $294.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.22 / $105.00 / $120.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.99 / $242.33 / $306.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $43.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.85 / $198.45 / $297.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.27 / $84.85 / $167.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $31.33 / $132.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $305.00 / $305.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.22 / $90.98 / $111.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $163.80 / $163.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.30 / $4,071.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.30 / $4,071.00 / $10,945.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $21.68 / $21.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $195.00 / $195.00