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South Dakota rates for HCPCS 25001

Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.67 / $355.67 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.79 / $552.16 / $891.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.14 / $915.48 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.52 / $579.87 / $705.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00