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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
$375.56 / $412.55 / $412.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.77 / $375.56 / $893.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.34 / $914.21 / $1,190.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.66 / $626.21 / $919.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.80 / $875.33 / $3,034.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $807.01 / $1,023.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.00 / $807.01 / $1,023.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $638.79 / $813.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.38 / $697.01 / $1,084.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.70 / $901.40 / $987.00