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South Carolina 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 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $186.21 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $173.78 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $331.13 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $218.78 / $331.13