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South Dakota rates for HCPCS 19307

Mast Modf Rad W/Ax Lymph Nod W/Wo Pect/Alis Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.01 / $1,094.01 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.22 / $1,620.71 / $3,094.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.00 / $3,142.29 / $5,062.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.57 / $1,995.31 / $2,310.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$445.39 / $445.39 / $445.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$445.39 / $445.39 / $445.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00