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Utah 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
$23.99 / $134.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $17.38 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $22.91 / $37.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $70.79 / $104.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $17.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.50 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.48 / $15.85