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Illinois rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $302 · 10th–90th $71–$8,7100%20%10th90th$302Professionalmedian $302 · 10th–90th $275–$3800%50%10th90th$302$20.0$100.0$500.0$2.0K$10.0K

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
$302.00 / $302.00 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $302.00 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $95.50 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $851.14 / $1,479.11
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $102.33 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95