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South Dakota rates for HCPCS 25020

Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.97 / $769.97 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.31 / $1,110.42 / $1,484.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,467.68 / $2,020.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.66 / $1,071.67 / $1,437.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00