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South Dakota rates for HCPCS 25545

Open Treatment Of Ulnar Shaft Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.77 / $630.77 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.94 / $1,066.00 / $1,621.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,550.78 / $10,405.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.58 / $1,055.33 / $1,249.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$230.48 / $230.48 / $230.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00