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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
$724.44 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $1,659.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,230.27 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28