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South Dakota rates for HCPCS 24615

Open Tx Acute/Chronic Elbow Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.51 / $713.51 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.96 / $1,175.89 / $1,851.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,759.50 / $10,754.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.70 / $1,203.99 / $1,416.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$264.20 / $264.20 / $264.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00