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South Dakota rates for HCPCS 23000

Removal of subdeltoid calcareous deposits, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $562.34 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26