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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
$662.66 / $662.66 / $662.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.07 / $1,119.90 / $1,718.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.02 / $1,641.62 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.92 / $1,119.04 / $1,321.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00