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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
$343.17 / $371.62 / $371.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.58 / $343.17 / $694.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.04 / $856.90 / $1,071.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.89 / $579.96 / $863.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.96 / $802.48 / $2,749.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $845.35 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.00 / $751.46 / $947.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.78 / $584.26 / $736.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.74 / $607.71 / $988.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.70 / $829.20 / $893.60