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Wisconsin rates for HCPCS 89321

Semen analysis; sperm presence and motility of sperm, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $58.88 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $32.36 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $47.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.98 / $38.02
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $26.30 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $14.45 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $27.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $30.90 / $41.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.94 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $26.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $10.72 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $27.54