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South Dakota rates for HCPCS 25337

Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.99 / $891.99 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.29 / $1,467.63 / $2,313.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,195.65 / $10,866.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.58 / $1,501.30 / $1,767.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00