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South Dakota rates for HCPCS 82757

Fructose, semen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $16.30 / $16.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.60 / $34.60 / $34.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $31.99 / $39.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $27.80 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $15.61 / $35.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.38 / $35.31 / $54.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $38.01 / $49.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.32 / $40.49 / $47.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $12.13 / $20.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $17.34 / $17.34