go back

South Dakota rates for HCPCS 23490

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $851.14 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,949.84 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $2,344.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $2,089.30