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South Dakota rates for HCPCS 25660

Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.49 / $460.49 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.22 / $460.49 / $1,097.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.57 / $1,056.46 / $1,320.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.11 / $698.39 / $1,064.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.41 / $847.12 / $3,402.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.63 / $837.93 / $1,127.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.47 / $872.66 / $1,208.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.93 / $689.59 / $910.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.27 / $736.63 / $1,145.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.60 / $1,105.59 / $1,105.59