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South Dakota rates for HCPCS 25560

Closed Tx Radial&Ulnar Shaft Fractures W/O Man

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.37 / $304.87 / $304.87
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$202.78 / $202.78 / $228.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.90 / $263.61 / $469.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.46 / $703.53 / $879.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.16 / $440.29 / $707.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.60 / $638.74 / $2,236.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $584.67 / $743.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $574.16 / $743.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.95 / $457.78 / $597.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.39 / $509.72 / $792.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.10 / $648.60 / $725.50