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South Dakota rates for HCPCS 23420

Reconstruction Rotator Cuff Avulsion Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.23 / $967.23 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.38 / $1,665.16 / $2,527.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.24 / $2,390.76 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.83 / $1,639.25 / $1,928.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$360.07 / $360.07 / $360.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00