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South Dakota rates for HCPCS 25565

Closed Tx Radial&Ulnar Shaft Fractures W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.12 / $1,594.12 / $1,955.70
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$356.34 / $356.34 / $401.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.69 / $812.70 / $1,235.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,183.39 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.25 / $860.44 / $1,051.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00