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South Dakota rates for HCPCS 25608

Optx Dstl Radl I-Artic Fx/Epiphysl Sep 2 Frag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.25 / $829.25 / $10,670.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.98 / $1,290.09 / $2,146.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,046.01 / $11,196.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.92 / $1,395.70 / $1,647.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$305.25 / $305.25 / $305.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00