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South Dakota rates for HCPCS 23520

Closed treatment of sternoclavicular dislocation; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.90 / $251.75 / $251.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.19 / $248.90 / $595.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.97 / $580.42 / $725.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.89 / $381.31 / $596.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.69 / $530.69 / $1,849.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.59 / $612.57 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $529.87 / $659.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.73 / $419.02 / $496.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.25 / $422.86 / $657.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.00 / $598.29 / $602.20