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South Dakota rates for HCPCS 19084

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.34 / $391.61 / $3,236.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $326.06 / $2,098.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.84 / $778.09 / $1,070.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.94 / $351.38 / $984.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.24 / $1,166.91 / $2,770.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.02 / $826.30 / $1,230.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.94 / $791.12 / $1,158.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.38 / $597.74 / $863.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.73 / $878.13 / $1,365.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $165.40 / $788.50