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South Dakota rates for HCPCS 23931

Incision&Drainage Upper Arm/Elbow Bursa

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.16 / $316.82 / $316.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.86 / $261.99 / $481.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.72 / $464.54 / $870.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.88 / $412.17 / $717.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.76 / $650.78 / $2,246.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.53 / $655.74 / $1,664.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $495.00 / $777.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.26 / $383.54 / $582.86
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
$278.93 / $462.97 / $817.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $387.90 / $707.50