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South Dakota rates for HCPCS 19357

Tissue expander placement in breast reconstruction, including subsequent expansion(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.30 / $1,113.30 / $10,738.39
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$975.04 / $1,164.99 / $1,798.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.12 / $1,881.48 / $3,923.24
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,882.08 / $4,882.08 / $4,882.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $3,189.35 / $12,410.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.42 / $2,167.08 / $2,500.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$555.41 / $555.41 / $555.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00