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South Dakota rates for HCPCS 25119

Synvct Xtnsr Tdn Shth Wrst 1 Rescj Dstl Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.04 / $508.04 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.23 / $508.04 / $1,249.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.97 / $1,158.52 / $1,448.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.88 / $858.59 / $1,292.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.74 / $1,013.86 / $3,988.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.01 / $1,247.50 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.56 / $1,086.28 / $1,344.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.53 / $843.56 / $1,006.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.07 / $1,023.52 / $1,374.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.60 / $1,221.80 / $1,221.80