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South Dakota rates for HCPCS 19001

Puncture Aspiration Cyst Breast Each Addl Cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $25.47 / $25.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $23.98 / $34.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.18 / $56.77 / $74.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.36 / $41.87 / $69.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $72.39 / $284.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.39 / $58.52 / $82.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $55.64 / $70.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $39.46 / $50.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.19 / $48.62 / $75.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $44.20 / $56.60