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South Dakota rates for HCPCS 23195

Resection Humeral Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.82 / $741.82 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.80 / $1,253.68 / $1,970.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.19 / $1,842.79 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.11 / $1,263.68 / $1,485.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00