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South Dakota rates for HCPCS 25259

Manipulation Wrist Under Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.24 / $447.24 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.94 / $681.74 / $1,077.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.40 / $1,114.08 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.90 / $701.98 / $846.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00