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South Dakota rates for HCPCS 19368

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,949.84 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,897.79 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,388.44 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,890.45 / $24,547.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,786.30 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $4,073.80 / $6,025.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $4,786.30