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South Dakota rates for HCPCS 25907

Amp F/Arm Thru Radius&Ulna Sec Closure/Scar Re

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.64 / $616.64 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.17 / $616.64 / $1,643.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.09 / $1,404.72 / $1,755.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.24 / $1,061.03 / $1,594.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.14 / $1,246.90 / $5,247.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,530.10 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.46 / $1,379.18 / $1,659.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.38 / $1,040.58 / $1,225.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.16 / $1,187.52 / $1,686.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.09 / $1,488.00 / $1,488.00