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South Dakota rates for HCPCS 24802

Arthrodesis Elbow Joint W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.00 / $992.00 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.23 / $992.00 / $2,399.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.47 / $2,250.04 / $2,812.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.96 / $1,637.61 / $2,613.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.14 / $2,029.48 / $7,402.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,496.30 / $2,454.44 / $15,588.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.30 / $2,085.69 / $2,696.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.93 / $1,682.69 / $1,979.51
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
$1,063.06 / $1,932.84 / $2,744.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.80 / $2,402.69 / $2,402.69