go back

South Dakota rates for HCPCS 25400

Rpr Nonunion/Malunion Radius/Ulna W/O Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.24 / $801.24 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.14 / $1,390.89 / $2,094.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.57 / $2,128.94 / $11,090.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.98 / $1,351.10 / $1,589.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$297.52 / $297.52 / $297.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00