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South Dakota rates for HCPCS 58974

Embryo transfer, intrauterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.44 / $131.44 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $162.58 / $864.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.95 / $345.92 / $432.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.15 / $376.40 / $1,267.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.26 / $275.02 / $1,992.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $385.94 / $817.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.00 / $320.95 / $453.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.89 / $495.89 / $495.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.01 / $288.77 / $387.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.20 / $583.70 / $607.10