go back

South Dakota rates for HCPCS 24576

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $371.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $549.54 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $691.83 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $676.08 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $602.56 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $870.96