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Vermont rates for HCPCS 89310

Semen analysis; motility and count (not including Huhner test)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $81.28 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $13.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $12.02 / $23.44