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South Dakota rates for HCPCS 24155

Resection of elbow joint (arthrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.90 / $844.90 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.56 / $844.90 / $2,040.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.91 / $1,917.37 / $2,396.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.21 / $1,419.26 / $2,226.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.92 / $1,738.38 / $6,303.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.22 / $2,090.05 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.22 / $1,776.67 / $2,295.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.17 / $1,431.39 / $1,683.88
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
$810.92 / $1,500.98 / $2,334.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.50 / $2,043.90 / $2,043.90