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South Dakota rates for HCPCS 23650

Clsd Tx Shoulder Dislc W/Manipulation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.82 / $343.38 / $343.38
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$153.91 / $153.91 / $171.69
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.87 / $230.87 / $257.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.31 / $307.82 / $892.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.03 / $795.46 / $994.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.59 / $516.82 / $800.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.70 / $725.73 / $2,546.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $661.18 / $843.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $661.18 / $839.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $522.95 / $682.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.77 / $568.84 / $884.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.29 / $746.70 / $828.40