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South Dakota rates for HCPCS 89251

Cul Oocyte/Embryo < 4 D Co-Cult Ocyte/Embry

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.81 / $1,083.81 / $1,083.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.05 / $1,083.81 / $2,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,141.17 / $2,141.17 / $2,141.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.64 / $2,141.17 / $2,676.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.42 / $2,417.85 / $7,207.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.49 / $925.37 / $1,627.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.59 / $1,700.60 / $2,749.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.95 / $1,731.77 / $2,824.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.52 / $616.91 / $1,353.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.40 / $171.40 / $171.40