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South Dakota rates for HCPCS 25520

Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.01 / $591.65 / $591.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.04 / $591.65 / $1,265.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.84 / $1,353.12 / $1,691.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.12 / $909.42 / $1,394.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.75 / $1,286.23 / $4,366.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.12 / $1,363.42 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.00 / $1,215.29 / $1,522.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.80 / $943.99 / $1,167.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.52 / $1,099.02 / $1,583.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.30 / $1,336.40 / $1,417.30