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South Dakota rates for HCPCS 25035

Incision Deep Bone Cortex Forearm&/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.80 / $590.80 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.87 / $1,014.39 / $1,515.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,552.91 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.52 / $985.13 / $1,176.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00