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South Dakota rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.83 / $298.70 / $298.70
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$201.62 / $201.62 / $224.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $253.41 / $416.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.40 / $649.23 / $863.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.04 / $433.08 / $694.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $626.07 / $2,195.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $583.58 / $728.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.00 / $569.47 / $728.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.39 / $452.02 / $586.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.49 / $498.69 / $775.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.50 / $645.40 / $712.20