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South Dakota rates for HCPCS 19296

Plmt Expandable Cath Brst Following Prtl Mast

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.67 / $3,140.03 / $3,814.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.98 / $559.98 / $10,256.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,799.39 / $10,997.00 / $27,106.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.97 / $6,647.93 / $10,536.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.54 / $4,990.35 / $6,693.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,399.45 / $7,532.13 / $11,489.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.70 / $458.50 / $7,505.70