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South Dakota rates for HCPCS 24345

Repair Medial Collateral Ligament Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.98 / $714.98 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.33 / $1,175.43 / $1,842.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.25 / $1,760.81 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.94 / $1,202.63 / $1,414.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00