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South Dakota rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.69 / $595.82 / $595.82
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$312.52 / $312.52 / $312.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.97 / $642.25 / $1,039.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,020.65 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.27 / $677.80 / $820.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00