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South Dakota rates for HCPCS 24006

Arthrt Elbow Capsular Excision Capsular Rls Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.64 / $712.64 / $712.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.49 / $1,174.13 / $1,857.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,763.67 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.42 / $1,206.34 / $1,421.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00