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South Dakota rates for HCPCS 19300

Mastectomy for gynecomastia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $562.34 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53