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South Dakota rates for HCPCS 24495

Decompression Fasct F/Arm W/Brach Art Expl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.13 / $950.13 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.84 / $950.13 / $2,104.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.88 / $2,098.90 / $2,623.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.59 / $1,328.07 / $1,605.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.89 / $1,268.53 / $6,822.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,814.67 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.57 / $1,335.60 / $2,055.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.24 / $1,319.83 / $1,791.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.44 / $1,418.31 / $2,259.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.60 / $2,175.00 / $2,175.00