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South Dakota rates for HCPCS 89250

Culture of oocyte(s)/embryo(s), less than 4 days;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,344.23 / $5,495.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,548.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25