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South Dakota rates for HCPCS 23100

Arthrotomy Glenohumeral Joint W/Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.96 / $511.96 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.75 / $511.96 / $1,224.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.75 / $1,168.65 / $1,460.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.02 / $861.53 / $1,300.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.81 / $1,021.34 / $3,792.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.39 / $1,257.16 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.58 / $1,038.09 / $1,364.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.72 / $848.87 / $1,014.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.99 / $1,032.01 / $1,386.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.30 / $1,231.20 / $1,231.20