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Tennessee rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.87 / $299.83 / $434.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $299.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $53.43 / $183.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.06 / $91.25 / $163.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $136.81 / $240.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.00 / $560.70 / $560.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.24 / $74.20 / $354.00