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South Dakota rates for HCPCS 24655

Closed Tx Radial Head/Neck Fx W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.60 / $463.97 / $463.97
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$311.70 / $311.70 / $347.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $702.50 / $1,024.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.97 / $1,028.39 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.95 / $718.87 / $914.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00