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Idaho rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $165.96 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $104.71 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $138.04 / $173.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $281.84