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South Dakota rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.01 / $804.01 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.97 / $1,307.92 / $1,969.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,961.43 / $10,499.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.34 / $1,277.72 / $1,572.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$282.20 / $282.20 / $282.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00