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South Dakota rates for HCPCS 25440

Rpr Nonunion Scaphoid Carpal Bne W/Wo Rdl Stylec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.24 / $769.24 / $769.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.65 / $769.24 / $2,197.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.23 / $1,749.86 / $2,187.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.52 / $1,300.02 / $2,004.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.19 / $1,576.09 / $5,722.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,897.62 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.56 / $1,596.06 / $2,067.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.22 / $1,297.76 / $1,526.68
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
$759.19 / $1,359.99 / $2,115.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.50 / $1,853.10 / $1,853.10