go back

Arkansas rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $74.13 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $81.28 / $154.88