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South Dakota rates for HCPCS 25431

Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.52 / $784.52 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.31 / $717.59 / $1,397.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.57 / $1,784.14 / $2,230.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.16 / $1,293.31 / $2,053.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.38 / $1,625.15 / $5,848.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.38 / $2,091.28 / $12,041.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.30 / $1,640.07 / $2,121.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.09 / $1,323.74 / $1,564.20
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
$851.27 / $1,547.76 / $2,162.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.80 / $1,898.60 / $1,898.60