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South Dakota rates for HCPCS 23334

Prosthesis Removal Humeral/Glenoid Component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.84 / $1,045.84 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.78 / $1,680.33 / $2,803.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.85 / $2,412.19 / $2,896.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.93 / $1,791.66 / $2,093.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00