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South Dakota rates for HCPCS 89325

Sperm Antibodies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $10.02 / $10.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $10.02 / $10.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.54 / $21.54 / $21.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $19.57 / $24.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.22 / $17.12 / $225.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $9.60 / $21.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.76 / $21.74 / $33.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $23.72 / $30.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $24.92 / $29.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.48 / $7.47 / $12.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $10.67 / $10.67