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South Dakota rates for HCPCS 24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.36 / $1,238.36 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.09 / $1,238.36 / $2,997.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.51 / $2,798.53 / $3,498.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.13 / $1,760.12 / $3,260.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.78 / $2,584.46 / $9,240.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.18 / $2,776.30 / $3,805.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.86 / $2,414.87 / $3,375.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.16 / $2,106.71 / $2,470.51
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
$1,114.78 / $2,461.40 / $3,449.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,450.80 / $2,998.70 / $2,998.70