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South Dakota rates for HCPCS 24101

Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.73 / $510.73 / $510.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.71 / $858.86 / $1,300.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.21 / $1,285.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.55 / $846.51 / $1,007.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$185.05 / $185.05 / $185.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00