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Indiana rates for HCPCS 89290

Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.50 / $143.50 / $785.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.75 / $785.65 / $868.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.81 / $809.79 / $3,750.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.00 / $750.00 / $1,035.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,442.98 / $16,442.98 / $23,242.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.18 / $143.50 / $264.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.33 / $841.84 / $990.00