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South Dakota rates for HCPCS 25150

Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28