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South Dakota rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Facilitymedian $4,074 · 10th–90th $537–$9,1200%10%20%10th90th$4,074Professionalmedian $1,023 · 10th–90th $692–$1,2590%20%40%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K

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
$537.03 / $3,548.13 / $7,585.78
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $10,715.19
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,122.02 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $870.96 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $6,165.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,380.38 / $1,380.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $14,791.08