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South Dakota rates for HCPCS 19086

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 magnetic resonance guidance (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $616.60 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $269.15 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $724.44 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,380.38 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,513.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $933.25 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $1,995.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $1,230.27