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South Dakota rates for HCPCS 24006

Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,621.81 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28