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South Dakota rates for HCPCS 24675

Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $478.63 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,047.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83