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South Dakota rates for HCPCS 25660

Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $724.44 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $691.83 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $912.01
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 / $758.58 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,096.48