| Code | Description | States | Median rate |
|---|---|---|---|
| 89049 | Malignant hyperthermia muscle contracture test | 42 | $220.00 |
| 89050 | Cell count, spinal or joint fluid | 46 | $4.56 |
| 89051 | Body fluid cell count with differential | 46 | $5.46 |
| 89055 | Stool white blood cell test | 45 | $4.12 |
| 89060 | Crystal identification in body fluid | 47 | $7.33 |
| 89125 | Fat stain, stool or other fluid | 46 | $5.29 |
| 89160 | Stool meat fiber test | 44 | $4.37 |
| 89190 | Nasal smear for eosinophils | 46 | $5.21 |
| 89220 | Sputum collection by inhaled mist | 39 | $15.80 |
| 89230 | Sweat collection for cystic fibrosis test | 43 | $2.60 |
| 89300 | Semen analysis, presence and motility (post-coital) | 22 | $9.72 |
| 89310 | Semen analysis, motility and count | 28 | $8.31 |
| 89320 | Semen analysis, volume, count, motility and morphology | 24 | $12.19 |
| 89321 | Semen analysis, sperm presence and motility only | 26 | $11.63 |
| 89322 | Semen analysis, complete, strict morphology | 20 | $15.50 |
| 89325 | Sperm antibody test | 19 | $10.40 |
| 89329 | Sperm penetration test (hamster egg) | 15 | $19.10 |
| 89330 | Sperm cervical mucus penetration test | 15 | $10.38 |
| 89331 | Sperm evaluation for retrograde ejaculation | 16 | $19.59 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.