go back

Maine 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 / $316.23 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $758.58