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South Dakota rates for HCPCS 89322

Semen Analysis Strict Morphologic Criteria

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $154.34 / $158.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $18.55 / $157.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $30.68 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $28.07 / $35.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.86 / $24.84 / $101.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $17.01 / $31.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $31.58 / $48.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $34.44 / $44.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $37.34 / $42.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $15.50 / $21.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $15.50 / $15.50