go back

South Dakota rates for HCPCS 23130

Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.57 / $622.57 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.85 / $1,052.14 / $1,586.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.18 / $1,529.58 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.99 / $1,035.27 / $1,232.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00