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South Dakota rates for HCPCS 23040

Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.12 / $717.12 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.04 / $1,211.93 / $1,874.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,767.41 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.17 / $1,208.68 / $1,421.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$265.61 / $265.61 / $265.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22