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South Dakota rates for HCPCS 25350

Osteotomy Radius Distal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.66 / $678.66 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.13 / $1,167.18 / $1,757.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,789.70 / $11,408.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.94 / $1,139.69 / $1,342.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00