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South Dakota rates for HCPCS 24102

Arthrotomy Elbow W/Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.04 / $619.04 / $619.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.94 / $1,045.83 / $1,602.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.42 / $1,528.90 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.72 / $1,044.22 / $1,229.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22