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South Dakota rates for HCPCS 25574

Open Tx Radial&Ulnar Shaft Fx W/Fixj Radius/Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.79 / $679.79 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.91 / $1,074.58 / $1,754.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,671.12 / $11,132.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.08 / $1,142.64 / $1,348.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00