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South Dakota rates for HCPCS 23200

Radical resection of tumor; clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.85 / $1,473.85 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.97 / $1,473.85 / $3,583.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,564.57 / $3,338.44 / $4,173.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.45 / $2,154.44 / $3,970.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.01 / $3,076.27 / $11,038.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,272.33 / $3,396.30 / $4,644.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.34 / $3,094.68 / $4,038.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.91 / $2,545.34 / $2,951.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.01 / $2,650.81 / $4,123.47
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,928.30 / $3,582.90 / $3,582.90