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South Dakota rates for HCPCS 25535

Closed Tx Ulnar Shaft Fracture W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.36 / $511.32 / $2,057.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.39 / $782.28 / $1,172.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $1,040.02 / $1,311.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.07 / $811.70 / $1,002.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00