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Wisconsin rates for HCPCS G0027

Semen Analysis; Presence And/Or Motility Of Sperm Excluding Huhner

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.80 / $14.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $6.18 / $7.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $16.89 / $17.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $26.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $18.36 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.02 / $21.06 / $32.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $8.44 / $19.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.20 / $8.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $7.27 / $7.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.50 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $7.80 / $19.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $12.74 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $6.20 / $8.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $7.27 / $7.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $15.78 / $22.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $13.00 / $75.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $13.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $25.92 / $35.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $6.50 / $19.09