go back

South Dakota rates for HCPCS 24363

Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.02 / $1,423.02 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.53 / $2,395.40 / $3,816.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.98 / $3,535.09 / $33,596.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.51 / $2,435.67 / $2,843.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$539.97 / $539.97 / $539.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00