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South Dakota rates for HCPCS 89280

Asstd Fertilization Microtq <= 10 Oocytes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.14 / $657.14 / $657.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.51 / $657.14 / $1,440.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.02 / $658.02 / $658.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.47 / $658.02 / $822.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $845.00 / $1,890.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.57 / $684.57 / $684.57
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
$570.00 / $570.00 / $570.00