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South Dakota rates for HCPCS 19101

Biopsy of breast; open, incisional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $331.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $275.42 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $426.58 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $645.65 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $501.19 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $891.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $691.83