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Virginia rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Facilitymedian $269 · 10th–90th $62–$4,0740%20%10th90th$269Professionalmedian $302 · 10th–90th $107–$3240%50%10th90th$302$20.0$100.0$500.0$2.0K$10.0K

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
$263.03 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $302.00 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $257.04 / $309.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $181.97
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $346.74 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $117.49 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $302.00 / $380.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,000.00 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,000.00 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $51.29 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05