go back

Montana rates for HCPCS 89322

Semen Analysis Strict Morphologic Criteria

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.23 / $176.00 / $397.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $18.55 / $23.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $20.77 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.77 / $20.77 / $20.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $30.23 / $45.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $22.20 / $22.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $30.23 / $45.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $15.50 / $22.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $9.30 / $21.30