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South Dakota rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.66 / $1,510.66 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.95 / $1,510.66 / $4,427.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,627.42 / $3,420.25 / $4,275.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.28 / $2,382.92 / $4,070.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.76 / $3,166.72 / $11,296.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.11 / $4,062.27 / $21,157.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.27 / $3,391.54 / $4,121.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.32 / $2,598.14 / $3,014.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $25,733.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.76 / $3,015.92 / $4,228.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,990.60 / $3,659.00 / $3,659.00