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South Dakota rates for HCPCS 25530

Closed Tx Ulnar Shaft Fracture W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $278.33 / $278.33
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$190.88 / $190.88 / $208.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.31 / $261.62 / $462.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.71 / $645.87 / $807.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.22 / $417.51 / $648.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.25 / $591.59 / $2,044.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $566.24 / $700.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $539.13 / $700.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.52 / $432.83 / $547.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.92 / $555.24 / $732.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.30 / $610.90 / $664.30