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South Dakota rates for HCPCS 25575

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.16 / $17,100.00 / $21,700.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.86 / $1,474.04 / $2,345.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.02 / $2,226.81 / $11,059.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.40 / $1,525.42 / $1,794.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$334.07 / $334.07 / $334.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00