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South Dakota rates for HCPCS 25650

Closed treatment of ulnar styloid fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $346.74 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $323.59 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $660.69 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $707.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $891.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $812.83