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South Dakota rates for HCPCS 19086

Bx Breast W/Device Addl Lesion Magnet Res Guid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.48 / $614.67 / $614.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $748.61 / $3,141.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.67 / $1,217.05 / $1,674.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.09 / $546.84 / $1,538.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.84 / $1,757.36 / $4,320.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.34 / $1,227.46 / $1,916.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.13 / $1,232.17 / $1,757.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $930.98 / $1,349.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.80 / $1,346.51 / $2,094.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $191.50 / $1,228.09