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South Dakota rates for HCPCS 11970

Replacement of tissue expander with permanent implant

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