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South Dakota rates for HCPCS 25676

Open Tx Distal Radioulnar Dislc Acute/Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.39 / $635.39 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.42 / $1,068.17 / $1,634.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,565.68 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.63 / $1,066.54 / $1,256.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00