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South Dakota rates for HCPCS 23650

Closed treatment of shoulder dislocation, with manipulation; without anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $616.60 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $645.65 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $660.69 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $630.96 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $891.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $831.76