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Pennsylvania rates for HCPCS 89331

Sperm Evaluation Retrograde Ejaculation Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $53.27 / $81.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $16.64 / $26.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.78 / $128.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $15.28 / $15.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $26.08 / $65.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $22.19 / $34.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $11.56 / $26.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.97 / $40.97 / $46.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.87 / $53.27 / $81.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $21.43 / $80.91
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $29.75 / $65.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $22.72 / $34.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $19.59 / $25.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $12.15 / $35.85