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South Dakota rates for HCPCS 25671

Prq Skeletal Fixj Distal Radioulnar Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.17 / $539.17 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.61 / $884.56 / $1,374.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.61 / $1,332.64 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.15 / $897.83 / $1,075.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00