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South Dakota rates for HCPCS 76941

Us Intrauterine Ftl Tfuj/Cordocnts Img S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.40 / $121.40 / $121.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $121.40 / $124.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.94 / $304.07 / $380.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.81 / $189.09 / $235.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.61 / $132.68 / $748.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.87 / $233.17 / $329.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.49 / $251.54 / $329.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $152.63 / $152.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $142.54 / $255.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.30 / $242.70 / $242.70