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South Dakota rates for HCPCS 24100

Arthrotomy, elbow; with synovial biopsy only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.44 / $425.44 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.57 / $425.44 / $777.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.53 / $973.10 / $1,216.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.72 / $697.20 / $1,084.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.21 / $851.28 / $3,156.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,046.19 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.71 / $866.42 / $1,132.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.20 / $707.88 / $843.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.65 / $741.31 / $1,153.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.80 / $1,023.90 / $1,023.90