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South Dakota rates for HCPCS 23412

Open Repair Of Rotator Cuff Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.94 / $846.94 / $6,614.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.04 / $1,455.17 / $2,224.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.87 / $2,152.98 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.49 / $1,432.49 / $1,685.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$315.67 / $315.67 / $315.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$315.67 / $315.67 / $315.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00