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South Dakota rates for HCPCS 23105

Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.78 / $640.78 / $640.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.97 / $1,104.53 / $1,659.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.84 / $1,585.01 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.04 / $1,080.70 / $1,276.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00