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South Dakota rates for HCPCS 89255

Prepj Embryo Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.42 / $307.42 / $307.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.99 / $276.00 / $534.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.47 / $401.47 / $401.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.54 / $401.47 / $501.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.61 / $560.55 / $1,313.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.54 / $648.54 / $648.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $540.00 / $540.00