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Pennsylvania rates for HCPCS 89322

Semen Analysis Strict Morphologic Criteria

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $54.00 / $131.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $14.03 / $94.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.16 / $101.50 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $12.09 / $12.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $20.65 / $51.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.76 / $27.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $9.15 / $20.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $60.89 / $126.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.50 / $46.13 / $124.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $18.11 / $95.33
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $23.55 / $51.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.76 / $27.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $15.50 / $15.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $15.50 / $20.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $15.50 / $26.37