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South Dakota rates for HCPCS 23570

Closed Tx Scapular Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.94 / $253.12 / $253.12
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$183.71 / $183.71 / $189.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $224.89 / $379.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.93 / $585.80 / $732.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.42 / $379.59 / $598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.57 / $540.74 / $1,865.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $540.74 / $646.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.00 / $524.02 / $649.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.71 / $411.33 / $500.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.04 / $415.71 / $646.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $587.29 / $607.70