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South Dakota rates for HCPCS 23472

Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))

Facilitymedian $11,482 · 10th–90th $1,413–$19,9530%20%10th90th$11,482Professionalmedian $1,380 · 10th–90th $186–$13,4900%10%10th90th$1,380$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $14,125.38 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,187.76 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$173.78 / $263.03 / $436.52
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,884.03 / $29,512.09
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,884.03 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,311.31 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,454.71 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,818.38 / $10,715.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,311.31 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,019.95 / $3,162.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,398.83 / $2,818.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $35,481.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,454.71 / $3,981.07
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,467.37 / $3,467.37