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South Dakota rates for HCPCS 19355

Correction Inverted Nipples

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.20 / $735.12 / $735.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.14 / $638.29 / $1,770.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.40 / $1,722.59 / $2,153.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.08 / $1,078.71 / $1,801.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.94 / $1,884.74 / $5,582.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,850.44 / $2,596.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.85 / $1,441.34 / $1,902.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.58 / $1,163.88 / $1,439.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.94 / $1,351.98 / $2,103.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.40 / $1,362.30 / $1,659.70