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South Dakota rates for HCPCS 25390

Osteoplasty, radius OR ulna; shortening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.57 / $769.57 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.99 / $1,319.94 / $2,007.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.92 / $2,039.20 / $11,429.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.50 / $1,297.21 / $1,526.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$284.66 / $284.66 / $284.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00