MFL Test Prices

Test Prices as of July 2009
Subject to change without notice

For patient information only.

This list is not comprehensive, and prices may not be representative in every situation. For insurance purposes, the CPT code is in parentheses. Contact the laboratory (206-543-4671) for accurate information.

Semen Analysis, Computerized, with Strict Morphology $150 (89322)

Semen Analysis, Computerized, without morphology (follow up) $110 (89320)

Post-Vasectomy Check $22 (89310)

Semen Analysis, No Sperm $35 (89321)

Retrograde Ejaculation Analysis, Complete Evaluation $200 (89331)

Testicular Sperm, Identification & Preparation $395 (89264, 89261)

Fructose, Semen $15 (82757)

Cryopreservation, Each Visit $175* (89259) see below

Storage of Cryopreserved Sperm, Annual $225 (89343 sperm or 89344 testis)

Density Gradient Purification $80* (89561-52)

Motility Enhancement, Semen or Purified Sperm $220* (89320)

Hyperactivation Motility Analysis $150* (89261)

Acrosome Reaction Assessment $200* (88346)

Intra-Uterine Insemination Preparation, Density Gradient $165 (89261)

Intra-Uterine Insemination Preparation of Cryopreserved Sperm $85 (89353)

Diagnostic IUI $220* (89261, 89310)

Diagnostic IUI with Motility Enhancement $275* (89261, 89310)

Sperm Capacitation Enhancement $75* (89240)

Reactive Oxygen Species Assay, Screen $75* (89240)

Reactive Oxygen Species Assay, Complete $275* (89240)

Sperm DNA Fragmentation Assay $350* (89240)

Sperm DNA Fragment. Assay, Multiple fractions $500* (89240)

Sperm Live / Dead Stain $15* (89310-52)

NOTE: * Indicates this test is performed in addition to Semen Analysis

Cost of Cryopreservation

First Visit: Minimum $325 (Semen Analysis + Cryopreservation, includes first year of storage). Density Gradient Purification ($85) or Sperm Capacitation Enhancement ($75) added if needed.

Subsequent Visits: Minimum $285 unless sperm morphology or leukocyte abnormalities found in first sample.

Annual Storage fee: Charged on anniversary of first visit, regardless of number of vials or straws frozen.

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