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South Dakota rates for HCPCS 23525

Closed treatment of sternoclavicular dislocation; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $407.38 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $630.96 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $776.25 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $676.08 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $977.24