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South Dakota rates for HCPCS 19325

Breast augmentation with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.79 / $590.79 / $4,338.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,047.40 / $3,047.40 / $3,047.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.37 / $998.45 / $1,677.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.00 / $1,617.36 / $6,155.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.58 / $1,063.88 / $1,212.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00