go back

South Dakota rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.81 / $235.55 / $235.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.81 / $235.55 / $750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.51 / $574.20 / $717.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.33 / $481.15 / $1,267.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.67 / $492.78 / $3,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.01 / $560.97 / $654.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.00 / $504.07 / $654.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.56 / $402.66 / $492.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.02 / $517.41 / $702.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.70 / $489.00 / $596.29