go back

South Dakota rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.59 / $461.59 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.84 / $461.59 / $1,105.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.17 / $1,053.33 / $1,316.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.74 / $786.99 / $1,166.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.51 / $912.85 / $3,827.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.46 / $1,216.16 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.08 / $974.00 / $1,234.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.11 / $761.56 / $915.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.16 / $912.85 / $1,257.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.10 / $1,111.09 / $1,111.09