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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
$745.67 / $745.67 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.22 / $745.67 / $1,880.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.33 / $1,695.32 / $2,119.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.79 / $1,260.18 / $1,948.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.53 / $1,524.03 / $6,013.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.46 / $1,840.88 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.46 / $1,632.89 / $2,013.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.61 / $1,263.11 / $1,485.93
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
$798.30 / $1,514.58 / $2,050.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.10 / $1,803.60 / $1,803.60