go back

South Dakota rates for HCPCS 24115

Exc/Curtg Bone Cyst/Benign Tumor Humerus W/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.55 / $735.55 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $735.55 / $1,473.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.78 / $1,671.17 / $2,088.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.40 / $1,239.30 / $1,922.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.95 / $1,492.37 / $5,479.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.15 / $1,816.58 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.15 / $1,532.67 / $1,986.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.07 / $1,244.97 / $1,464.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.79 / $1,314.70 / $2,023.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.90 / $1,777.70 / $1,777.70