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South Dakota rates for HCPCS 23170

Sequestrectomy Clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.99 / $567.99 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.32 / $567.99 / $1,362.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.71 / $1,294.85 / $1,618.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.45 / $951.22 / $1,457.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.41 / $1,145.15 / $4,220.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,398.95 / $4,786.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.53 / $1,212.51 / $1,521.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.58 / $951.51 / $1,127.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.49 / $994.07 / $1,546.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.59 / $1,368.60 / $1,368.60