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South Dakota rates for HCPCS 25370

Mlt Osteotomies W/Relignmt Imed Rod Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.97 / $1,004.97 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.10 / $1,004.97 / $2,424.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.81 / $2,280.42 / $2,850.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.00 / $1,726.53 / $2,623.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.70 / $2,049.79 / $7,486.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,508.77 / $2,482.41 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.77 / $2,179.07 / $2,720.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.27 / $1,701.39 / $2,001.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.70 / $1,952.18 / $2,766.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.60 / $2,429.40 / $2,429.40