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South Dakota rates for HCPCS 20924

Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,148.15 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28