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South Dakota rates for HCPCS 25215

Carpectomy All Bones Proximal Row

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.96 / $624.96 / $624.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.74 / $1,070.99 / $1,608.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.80 / $1,552.35 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.00 / $1,043.53 / $1,237.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$228.55 / $228.55 / $228.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00