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South Dakota rates for HCPCS 19305

Mastectomy, radical, including pectoral muscles, axillary lymph nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.31 / $1,068.31 / $1,068.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.41 / $1,579.74 / $2,916.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.72 / $2,768.73 / $3,576.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.81 / $1,907.60 / $2,244.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00