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South Dakota rates for HCPCS 23550

Open Tx Acromioclavicular Dislc Acute/Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.91 / $575.91 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.04 / $968.82 / $1,478.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.65 / $1,416.12 / $10,733.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.08 / $960.95 / $1,137.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$210.40 / $210.40 / $210.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00