go back

South Dakota rates for HCPCS 01634

Anesthesia Arthroscopic Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $550.00 / $550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $50.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.00 / $669.06 / $749.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.50 / $84.50 / $3,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $110.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $90.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $640.00 / $665.00