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South Dakota rates for HCPCS 19297

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.86 / $84.86 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.99 / $143.41 / $247.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.88 / $222.85 / $290.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.06 / $158.87 / $181.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00