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South Dakota rates for HCPCS 19316

Mastopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,737.80 / $1,737.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,318.26 / $1,548.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28