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South Dakota rates for HCPCS 19294

Prepj Tumor Cavity Iort W/Partial Mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.37 / $147.37 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $219.14 / $404.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.63 / $389.89 / $509.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.69 / $279.16 / $318.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00