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South Dakota rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $812.83 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,778.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $1,949.84