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Rhode Island rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $3,090 · 10th–90th $79–$3,0900%50%10th$3,090Professionalmedian $316 · 10th–90th $282–$5010%20%40%10th90th$316$100.0$200.0$500.0$1.0K$2.0K

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