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South Dakota rates for HCPCS 23491

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

Facilitymedian $1,698 · 10th–90th $1,000$4,3650%20%10th90th$1,698Professionalmedian $1,738 · 10th–90th $1,175$2,1880%20%10th90th$1,738$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,000.00 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,290.87 / $2,290.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,698.24 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $26,302.68