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Wisconsin rates for HCPCS 89261

Sprm Isol Cplx Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.79 / $90.98 / $410.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.98 / $105.00 / $282.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $33.32 / $57.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.69 / $269.58 / $413.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $132.16 / $615.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.98 / $90.98 / $105.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.98 / $90.98 / $106.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $50.14 / $50.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $447.25 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.98 / $90.98 / $105.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.83 / $292.83 / $292.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.83 / $292.83 / $292.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $50.14 / $50.14