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South Dakota rates for HCPCS 25449

Revj Arthrp W/Removal Implant Wrist Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.01 / $1,026.01 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.13 / $1,026.01 / $2,472.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.92 / $2,328.73 / $2,910.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.00 / $1,733.96 / $2,695.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.53 / $2,115.58 / $7,652.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.61 / $2,538.03 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.61 / $2,156.00 / $2,773.10
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.29 / $1,733.28 / $2,039.03
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
$1,108.16 / $2,079.14 / $2,844.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.80 / $2,475.00 / $2,475.00