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South Dakota rates for HCPCS 25337

Rcnstj Stablj Dstl U/Dstl Jt 2 Soft Tiss Stablj

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