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South Dakota rates for HCPCS 25280

Lngth/Shrt Flxr/Xtnsr Tdn F/Arm&/Wrist 1 Ea Tdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.95 / $571.95 / $571.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.22 / $976.63 / $1,465.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.80 / $1,504.27 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.70 / $949.15 / $1,131.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$208.35 / $208.35 / $208.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00