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South Dakota rates for HCPCS 19284

Perq Breast Loc Device Placemt Ea Lesion Strtctc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $194.40 / $194.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.75 / $163.51 / $308.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.07 / $313.79 / $539.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.58 / $177.89 / $514.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.20 / $469.06 / $1,395.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $307.31 / $610.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.27 / $382.09 / $525.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $265.27 / $355.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.71 / $378.34 / $588.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $105.90 / $399.00