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Montana rates for HCPCS 89331

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $33.11 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $22.91 / $28.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $27.54 / $60.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $27.54 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $33.11 / $112.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.78 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.51 / $26.92