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South Dakota rates for HCPCS 25335

Centralization of wrist on ulna (eg, radial club hand)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,548.82 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,089.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,584.89 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $2,570.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,290.87