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South Dakota rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.89 / $721.89 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.21 / $1,105.47 / $1,898.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,645.54 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.44 / $1,224.08 / $1,440.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00