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South Dakota rates for HCPCS 26725

Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.75 / $356.36 / $356.36
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$236.06 / $236.06 / $267.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.31 / $309.43 / $552.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.61 / $818.83 / $1,023.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.77 / $531.92 / $821.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.75 / $767.40 / $2,621.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $700.88 / $902.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $694.74 / $902.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.17 / $555.83 / $699.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.68 / $607.10 / $944.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.00 / $756.10 / $848.80