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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
$1,122.02 / $5,248.07 / $10,715.19
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$977.24 / $1,513.56 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,454.71 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $3,388.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $2,570.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32