go back

South Dakota rates for HCPCS 24605

Treatment of closed elbow dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.02 / $487.02 / $3,073.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$365.27 / $365.27 / $365.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.09 / $791.89 / $1,219.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.34 / $1,193.55 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.46 / $795.19 / $958.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00