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South Dakota rates for HCPCS 23665

Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $446.68 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $691.83 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $891.25 / $977.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59