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South Dakota rates for HCPCS 24650

Closed treatment of radial head or neck fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.42 / $277.70 / $277.70
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$193.07 / $193.07 / $208.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.47 / $237.68 / $427.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.45 / $641.98 / $802.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.45 / $419.10 / $644.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.50 / $591.34 / $2,035.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $572.78 / $700.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.00 / $546.69 / $700.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.18 / $432.77 / $545.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.38 / $419.48 / $730.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.10 / $618.00 / $662.70