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South Dakota rates for HCPCS 25310

Tdn Trnsplj/Tr Flxr/Xtnsr F/Arm&/Wrst 1 Ea Tdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.37 / $627.37 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.46 / $1,154.52 / $1,612.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,637.74 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,058.65 / $1,419.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$228.94 / $228.94 / $228.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22