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South Dakota rates for HCPCS 19285

Perq Breast Loc Device Placemt 1st Lesio Us Imag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $378.64 / $378.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.73 / $378.64 / $1,980.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $606.61 / $1,043.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.52 / $342.69 / $1,135.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.08 / $1,103.84 / $2,694.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.85 / $778.67 / $1,196.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.50 / $771.46 / $1,103.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $552.80 / $733.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.76 / $836.62 / $1,301.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $179.90 / $768.90