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South Dakota rates for HCPCS 24361

Arthroplasty, elbow; with distal humeral prosthetic replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.80 / $996.80 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.27 / $996.80 / $2,412.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.85 / $2,260.94 / $2,826.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.34 / $1,684.59 / $2,626.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.07 / $2,044.98 / $7,438.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.12 / $2,466.55 / $32,986.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.12 / $2,095.91 / $2,709.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.04 / $1,691.49 / $1,989.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.18 / $2,029.20 / $2,757.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.00 / $2,415.30 / $2,415.30