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South Dakota rates for HCPCS 24102

Arthrotomy, elbow; with synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $1,412.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28