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Indiana rates for HCPCS 89331

Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $30.90 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $18.62 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.77 / $18.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $19.05 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $19.50 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $19.50 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.75 / $19.50