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South Dakota rates for HCPCS 25446

Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $2,691.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93