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South Dakota rates for HCPCS 25810

Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,365.16 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,995.26 / $1,995.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $1,737.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32