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South Dakota rates for HCPCS 19105

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.47 / $2,374.62 / $2,374.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.47 / $1,975.02 / $2,374.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.31 / $554.13 / $6,453.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.13 / $2,113.78 / $5,913.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.33 / $6,399.88 / $16,664.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.85 / $3,670.49 / $6,399.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.25 / $3,688.13 / $6,399.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.99 / $3,205.15 / $4,231.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.69 / $4,756.96 / $7,788.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.10 / $457.70 / $4,744.80