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South Dakota rates for HCPCS 24320

Tenoplasty Elbow To Shoulder Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.36 / $776.36 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.16 / $776.36 / $1,875.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.00 / $1,763.88 / $2,204.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.10 / $1,312.05 / $2,036.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.32 / $1,559.44 / $5,787.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.68 / $1,918.92 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.68 / $1,624.00 / $2,101.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.31 / $1,315.91 / $1,548.03
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
$816.85 / $1,485.18 / $2,140.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.70 / $1,879.00 / $1,879.00