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South Dakota rates for HCPCS 23540

Closed treatment of acromioclavicular 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
$208.93 / $245.47 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $389.05 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $457.09 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $524.81 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $501.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $645.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $588.84