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South Dakota rates for HCPCS 24301

Muscle/Tendon Transfer Upper Arm/Elbow Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.42 / $750.42 / $750.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.47 / $1,236.91 / $1,949.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,848.22 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.04 / $1,263.57 / $1,488.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$278.22 / $278.22 / $278.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00