go back

South Dakota rates for HCPCS 89258

Cryoprsrv Embryo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.58 / $487.58 / $487.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.80 / $586.23 / $922.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.54 / $288.54 / $288.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.55 / $288.54 / $360.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.01 / $891.99 / $2,055.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.48 / $456.48 / $456.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $300.25 / $300.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00