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South Dakota rates for HCPCS 25515

Open Treatment Radial Shaft Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.52 / $673.52 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.28 / $1,138.25 / $1,743.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,661.39 / $10,499.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.94 / $1,135.56 / $1,337.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$247.72 / $247.72 / $247.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00