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South Dakota rates for HCPCS 25360

Osteotomy Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.34 / $659.34 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.38 / $1,135.51 / $1,703.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,734.94 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.34 / $1,107.24 / $1,307.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00