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Implantable Breast Prosthesis

South Dakota rates for HCPCS C1789

Prosthesis, breast (implantable)

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $2,042$6,1660%10%20%10th90th$3,311Professionalmedian $398 · 10th–90th $398$3,3110%50%90th$398$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,311.31
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,570.40
Typical High
$5,623.41