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South Dakota rates for HCPCS 89260

Sprm Isol Smpl Prep Insemination/Dx Semen Alys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.56 / $97.56 / $97.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $126.71 / $139.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.23 / $99.23 / $99.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $99.23 / $124.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.51 / $185.47 / $438.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.10 / $120.10 / $120.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $208.00 / $208.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $22.47 / $22.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00