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New Hampshire 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
$50.12 / $50.12 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $37.15 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.59 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $74.13 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $14.13 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $33.88 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.75 / $57.54