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South Dakota rates for HCPCS 19306

Mast Rad W/Pectoral Musc Ax Int Mam Lymph Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.41 / $1,133.41 / $1,133.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.62 / $1,133.41 / $3,444.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.42 / $2,659.07 / $3,323.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.15 / $1,679.22 / $3,094.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.83 / $2,263.32 / $8,869.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,757.60 / $2,939.58 / $3,814.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,965.15 / $2,681.83 / $3,284.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.24 / $2,034.63 / $2,393.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.99 / $2,376.48 / $3,264.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.60 / $2,580.80 / $2,684.00