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South Dakota rates for HCPCS 23505

Closed treatment of clavicular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $354.81 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $724.44 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $724.44 / $776.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $602.56 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $954.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $891.25