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South Dakota rates for HCPCS 24125

Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.26 / $625.26 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.33 / $625.26 / $1,503.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.66 / $1,424.97 / $1,781.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.05 / $1,028.50 / $1,615.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.32 / $1,264.11 / $4,648.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,540.95 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.95 / $1,287.22 / $1,679.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.83 / $1,054.15 / $1,243.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.16 / $1,203.92 / $1,708.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.40 / $1,509.20 / $1,509.20