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South Dakota rates for HCPCS 19300

Mastectomy for gynecomastia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.57 / $568.09 / $568.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.73 / $823.94 / $1,343.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.00 / $1,346.31 / $2,596.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.05 / $855.20 / $1,113.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00