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South Dakota rates for HCPCS 25240

Excision distal ulna partial or complete (eg, Darrach type or matched resection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $977.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$162.18 / $162.18 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28