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Arizona rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $38 · 10th–90th $7–$3020%5%10th90th$38Professionalmedian $302 · 10th–90th $263–$4570%20%10th90th$302$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $316.23 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $26.92 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $50.12 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $138.04
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $316.23 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05