go back

South Dakota rates for HCPCS 25635

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $478.63 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $870.96 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $794.33 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $741.31 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,148.15