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South Dakota rates for HCPCS 24575

Open Tx Humeral Epicondylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.12 / $734.12 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.03 / $1,208.16 / $1,911.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.05 / $1,810.95 / $19,953.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.27 / $1,241.67 / $1,460.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00