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South Dakota rates for HCPCS 25680

Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.15 / $540.15 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.35 / $540.15 / $1,291.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.42 / $1,237.21 / $1,546.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.55 / $821.00 / $1,221.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.04 / $986.01 / $3,999.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.63 / $979.64 / $1,325.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.25 / $998.39 / $1,427.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.62 / $798.21 / $1,070.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.08 / $930.24 / $1,447.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.09 / $1,299.50 / $1,299.50