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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
$269.15 / $295.12 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $275.42 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $707.95 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $602.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $489.78 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $707.95