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South Dakota rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $588.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,148.15 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,412.54