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South Dakota rates for HCPCS 23620

Cltx Greater Humeral Tuberosity Fx W/O Mnpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.45 / $283.91 / $283.91
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$203.60 / $203.60 / $212.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.18 / $254.30 / $438.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.34 / $655.22 / $819.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.09 / $435.95 / $661.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.60 / $606.04 / $2,084.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $600.44 / $719.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.00 / $579.76 / $720.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.22 / $453.67 / $557.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.92 / $489.03 / $747.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.40 / $647.79 / $676.80