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South Dakota rates for HCPCS 19316

Mastopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.41 / $754.41 / $754.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.04 / $1,274.95 / $2,011.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.00 / $2,086.77 / $4,968.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.35 / $1,323.06 / $1,556.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$285.30 / $285.30 / $285.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00