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South Dakota rates for HCPCS 24560

Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$230.74 / $230.74 / $262.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.52 / $307.64 / $538.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.83 / $769.82 / $1,002.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.14 / $738.09 / $2,554.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $663.32 / $861.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.30 / $528.55 / $681.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.27 / $589.17 / $916.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.40 / $733.40 / $827.60