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South Dakota rates for HCPCS 24358

Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.24 / $535.24 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.40 / $828.74 / $1,360.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.84 / $1,401.96 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.13 / $884.26 / $1,062.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00