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South Dakota rates for HCPCS 23333

Removal Shoulder Foreign Body Deep Subfascial/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.96 / $475.96 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.19 / $475.96 / $800.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.30 / $1,089.96 / $1,362.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.75 / $738.88 / $1,186.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.91 / $927.65 / $3,539.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.88 / $1,234.59 / $2,824.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.06 / $1,048.06 / $1,234.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.20 / $782.86 / $949.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.91 / $818.86 / $1,273.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.40 / $1,151.90 / $1,151.90