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South Dakota rates for HCPCS 23491

Proph Tx W/Wo Methylmethacrylate Prox Humerus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.52 / $1,004.52 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.58 / $1,697.64 / $2,642.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.70 / $2,486.62 / $19,757.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.80 / $1,704.14 / $2,004.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00