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Montana rates for HCPCS 89331

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

Facilitymedian $30 · 10th–90th $23–$620%10%20%10th90th$30Professionalmedian $19 · 10th–90th $14–$600%20%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.49 / $28.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $27.54 / $60.26
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $27.54 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $112.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $27.54