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Vermont rates for HCPCS 89264

Sperm identification from testis tissue, fresh or cryopreserved

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $630.96