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Rhode Island rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,090.30 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68