go back

South Dakota rates for HCPCS 23107

Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $1,479.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28