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South Dakota rates for HCPCS 25652

Open Treatment Ulnar Styloid Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.30 / $628.30 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.88 / $1,033.00 / $1,621.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.32 / $1,652.36 / $11,438.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.77 / $1,055.92 / $1,247.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00