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South Dakota rates for HCPCS 19361

Breast Reconstruction W/Latissimus Dorsi Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.31 / $1,477.31 / $1,477.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.21 / $2,366.28 / $4,125.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,391.41 / $3,794.52 / $4,803.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.63 / $2,620.17 / $3,047.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$581.92 / $581.92 / $581.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00