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South Dakota rates for HCPCS 25820

Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,412.54 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84