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Ohio rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.02 / $381.65 / $1,068.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $381.65 / $497.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.80 / $108.00 / $500.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,100.32 / $12,652.01 / $87,749.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $52.26 / $499.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $109.07 / $136.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $52.26 / $348.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $44.70 / $109.07