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South Dakota rates for HCPCS 58323

Sperm Washing Artificial Insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.66 / $10.66 / $13.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $13.58 / $20.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.71 / $31.94 / $39.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $22.95 / $40.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $30.04 / $297.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $32.36 / $44.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $32.36 / $44.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $23.29 / $28.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $27.18 / $42.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $27.80 / $33.90