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South Dakota rates for HCPCS 25645

Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $933.25 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,230.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $1,380.38