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Michigan rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $240 · 10th–90th $240–$3020%50%90th$240Professionalmedian $302 · 10th–90th $18–$3470%50%10th90th$302$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$239.88 / $239.88 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $18.20 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $138.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $239.88 / $239.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $165.96