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South Dakota rates for HCPCS 24925

Amp Arm Thru Humerus Secondary Clsr/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.89 / $572.89 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.95 / $572.89 / $1,375.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.09 / $1,305.77 / $1,632.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.76 / $968.18 / $1,327.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.99 / $1,043.01 / $4,253.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.94 / $1,409.82 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.04 / $1,117.51 / $1,534.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.41 / $865.38 / $1,137.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.87 / $993.34 / $1,560.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.80 / $1,381.20 / $1,381.20