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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
$245.47 / $251.19 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $398.11 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $467.74 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $512.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $660.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $602.56