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South Dakota rates for HCPCS 23921

Disrtcj Shoulder Secondary Clsr/Scar Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.17 / $476.17 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.15 / $476.17 / $1,138.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.51 / $1,087.61 / $1,359.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.69 / $774.89 / $1,201.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.42 / $957.81 / $3,532.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.44 / $1,170.58 / $2,305.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.73 / $926.95 / $1,269.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.12 / $778.08 / $943.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.43 / $754.74 / $1,292.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.70 / $1,144.80 / $1,144.80