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Maryland rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $21 · 10th–90th $21–$220%50%100%90th$21Professionalmedian $302 · 10th–90th $263–$3630%50%10th90th$302$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $831.76 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $426.58