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South Dakota rates for HCPCS 23125

Claviculectomy; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.88 / $708.88 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.40 / $708.88 / $1,707.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.30 / $1,611.96 / $2,014.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.23 / $1,219.47 / $1,848.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.64 / $1,413.74 / $5,773.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.19 / $1,749.92 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.17 / $1,472.75 / $1,912.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.18 / $1,199.33 / $1,410.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.53 / $1,346.42 / $1,947.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.70 / $1,712.50 / $1,712.50