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South Dakota rates for HCPCS 24530

Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.62 / $399.83 / $399.83
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$273.47 / $273.47 / $299.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.50 / $399.83 / $652.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.39 / $919.22 / $1,149.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.51 / $604.75 / $888.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.61 / $858.70 / $2,936.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $788.00 / $1,017.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $783.13 / $1,017.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.40 / $628.36 / $783.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.37 / $608.86 / $1,056.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.10 / $870.00 / $950.90