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South Dakota rates for HCPCS 19296

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $3,162.28 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $6,025.60 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $7,585.78 / $26,915.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $8,128.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $5,128.61 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $562.34 / $10,964.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $7,585.78