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South Dakota rates for HCPCS 23174

Sequestrectomy Humeral Head Surgery Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.65 / $764.65 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.04 / $764.65 / $1,839.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.25 / $1,742.07 / $2,177.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.57 / $1,280.02 / $1,974.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.79 / $1,548.75 / $7,170.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.93 / $1,885.87 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.93 / $1,574.31 / $2,052.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.06 / $1,288.33 / $1,520.86
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
$811.25 / $1,343.30 / $2,089.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.80 / $1,846.00 / $1,846.00