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Alaska rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.79 / $389.79 / $389.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $365.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.45 / $299.83 / $381.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.45 / $299.83 / $381.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $20.12 / $20.12