go back

South Dakota rates for HCPCS 19340

Insertion Breast Implant Same Day Of Mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.89 / $724.89 / $3,073.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,510.40 / $8,510.40 / $8,967.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.51 / $1,069.16 / $2,622.62
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,086.95 / $1,342.36 / $6,155.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.03 / $1,995.23 / $5,638.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.78 / $1,419.11 / $1,667.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00