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New Hampshire rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $95.50 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $177.83 / $218.78
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
$102.33 / $169.82 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $123.03 / $257.04