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West Virginia 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 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $302.00 / $380.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,283.05 / $81,283.05 / $117,489.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,712.85 / $104,712.85 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $81.28 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54