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South Dakota rates for HCPCS 24134

Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $741.31 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,621.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $2,041.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $1,819.70