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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
$356.20 / $2,909.72 / $7,530.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.75 / $444.88 / $3,538.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.83 / $817.28 / $1,021.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.25 / $601.08 / $869.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.50 / $693.71 / $2,616.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.36 / $899.61 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.50 / $736.00 / $925.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.32 / $566.89 / $698.01
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
$358.50 / $606.85 / $943.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.40 / $847.20 / $847.20