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South Dakota rates for HCPCS 24587

Optx Priarticular Fx&/Dislc Elbw W/Implt Arthr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.23 / $1,074.23 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.54 / $1,074.23 / $2,599.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.12 / $2,433.13 / $3,041.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.30 / $1,815.45 / $2,842.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.63 / $2,204.48 / $8,025.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.85 / $2,661.17 / $21,099.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.85 / $2,257.36 / $2,923.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.81 / $1,822.41 / $2,143.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.63 / $1,914.05 / $2,977.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.10 / $2,601.40 / $2,601.40