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South Dakota rates for HCPCS 23660

Open treatment of acute shoulder dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.07 / $590.07 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.93 / $991.76 / $1,509.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.17 / $1,448.74 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $982.77 / $1,166.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$215.55 / $215.55 / $215.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00