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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
$1,737.80 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,884.03 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,073.80 / $4,073.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93