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South Dakota rates for HCPCS 25600

Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.06 / $340.41 / $356.77
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$255.31 / $255.31 / $267.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.12 / $295.54 / $564.73
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$216.32 / $258.24 / $796.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.25 / $818.63 / $1,030.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.52 / $523.75 / $821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.33 / $746.32 / $2,607.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $708.88 / $869.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.71 / $708.88 / $897.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.12 / $568.04 / $696.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.99 / $596.42 / $927.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.90 / $811.10 / $845.70