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South Dakota rates for HCPCS 89321

Semen analysis; sperm presence and motility of sperm, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $60.26 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $19.50 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.51 / $16.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.84 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.51 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02