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South Dakota rates for HCPCS 24371

Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.43 / $1,730.43 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.69 / $2,736.89 / $4,697.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,211.64 / $4,677.99 / $32,094.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,214.91 / $3,010.66 / $3,455.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00