CPT 0255U

Sperm capacitation assessment by GM1 fluorescence microscopy

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Andrology infertility assmt

Payer pricing summary

Low

Average

$40

Median

$36

High

$77

Payer rate distribution

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All methodologies Case rate 33 Fee schedule 52 Per diem 0 Percent of billed charges 0 Other 18

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#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	595	$32	$35	$20	57%	—	$11 – $284
2	Aetna fee schedule · outpatient · +8 other terms	524	$32	$49	$46	92%	—	$17 – $680
3	Humana fee schedule · outpatient · +11 other terms	383	$32	$36	$16	46%	—	$27 – $152
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	365	$32	$51	$146	285%	—	$1 – $3.1k
5	Cigna fee schedule · outpatient · +7 other terms	308	$48	$77	$52	67%	—	$14 – $317
6	WellCare fee schedule · outpatient · +7 other terms	247	$33	$34	$5	15%	—	$31 – $63
7	Molina fee schedule · outpatient · +8 other terms	200	$47	$46	$19	42%	—	$19 – $95
8	Devoted fee schedule · outpatient · +4 other terms	193	$32	$32	$1	3%	—	$31 – $37
9	Oscar fee schedule · outpatient · +6 other terms	160	$61	$68	$23	33%	—	$31 – $97
10	Anthem fee schedule · outpatient · +8 other terms	144	$35	$62	$61	98%	—	$4 – $237

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