go back

Nebraska rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $173.78 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $109.65 / $109.65