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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
$810.15 / $810.15 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.82 / $810.15 / $1,947.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.85 / $1,845.69 / $2,307.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.49 / $1,354.50 / $2,089.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.93 / $1,653.39 / $6,020.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,996.44 / $34,722.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.05 / $1,633.49 / $2,172.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,346.74 / $1,608.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.14 / $1,431.41 / $2,226.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.40 / $1,952.00 / $1,952.00