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South Dakota rates for HCPCS 23530

Open Tx Sternoclavicular Dislc Acute/Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.91 / $578.91 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.68 / $578.91 / $1,389.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.06 / $1,317.46 / $1,646.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.86 / $952.06 / $1,489.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.01 / $1,163.06 / $4,297.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.83 / $1,424.60 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.43 / $1,189.91 / $1,552.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.00 / $972.75 / $1,149.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.69 / $924.61 / $1,578.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.40 / $1,395.30 / $1,395.30