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South Dakota rates for HCPCS 23920

Disarticulation of shoulder;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.33 / $1,107.33 / $1,107.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.38 / $1,107.33 / $2,684.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.36 / $2,514.16 / $3,142.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.12 / $1,829.02 / $2,945.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.31 / $2,245.15 / $8,279.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.64 / $2,546.17 / $3,472.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.64 / $2,348.67 / $3,018.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.36 / $1,889.13 / $2,213.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.31 / $1,977.10 / $3,075.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.10 / $2,687.00 / $2,687.00