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South Dakota rates for HCPCS 25635

Cltx Carpal Bone Fx W/Manj Each Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.52 / $482.83 / $482.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.08 / $409.72 / $747.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.07 / $1,110.08 / $1,387.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.21 / $734.64 / $1,035.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $990.74 / $3,554.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,040.18 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $940.95 / $1,162.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.10 / $739.17 / $949.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.08 / $821.84 / $1,278.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.80 / $1,045.90 / $1,152.70