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South Dakota rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,548.13 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $707.95 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $575.44 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $851.14