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Vermont rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $89.67 / $261.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $191.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $132.16 / $139.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.92 / $83.92 / $83.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $132.16 / $139.68