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South Dakota rates for HCPCS 89330

Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test

Facilitymedian $20 · 10th–90th $9–$200%20%40%10th$20Professionalmedian $9 · 10th–90th $6–$270%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.92 / $13.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $9.33 / $13.80
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47