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South Dakota rates for HCPCS 25530

Closed treatment of ulnar shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $275.42 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $416.87 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $537.03 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $446.68 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $724.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $660.69