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South Dakota rates for HCPCS 89250

Cul Oocyte/Embryo <4 Days

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.94 / $1,041.94 / $1,041.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.50 / $1,017.19 / $1,918.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.28 / $2,058.28 / $2,058.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.19 / $2,058.28 / $2,572.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.17 / $2,325.04 / $6,928.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.07 / $889.64 / $1,564.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.49 / $1,635.04 / $2,642.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.17 / $1,664.75 / $2,714.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.00 / $672.00 / $672.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.92 / $593.09 / $1,301.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.00 / $889.00 / $889.00