go back

Virginia rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $257.04 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $181.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $346.74 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $117.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $31.62 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $380.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,000.00 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $10,000.00 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $51.29 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05