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South Dakota rates for HCPCS 23415

Coracoacromial Ligament Releas W/Woacromioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.88 / $698.88 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.81 / $1,205.21 / $1,816.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.36 / $1,721.97 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.97 / $1,183.93 / $1,392.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00