go back

South Dakota rates for HCPCS 23405

Tenotomy Shoulder Area 1 Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.28 / $618.28 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.42 / $1,053.28 / $1,630.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,522.54 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.67 / $1,042.61 / $1,216.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$228.68 / $228.68 / $228.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00