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South Dakota rates for HCPCS 89331

Sperm Evaluation Retrograde Ejaculation Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.41 / $18.41 / $18.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $18.41 / $21.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $39.17 / $39.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.72 / $35.90 / $44.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.78 / $31.40 / $93.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $17.63 / $40.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $39.90 / $61.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $43.53 / $56.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.39 / $47.20 / $53.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $13.70 / $23.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59