go back

South Dakota rates for HCPCS 25024

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.47 / $771.47 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.66 / $771.47 / $1,288.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.81 / $1,758.43 / $2,198.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.18 / $1,254.23 / $2,026.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.99 / $1,582.81 / $5,788.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.70 / $1,919.19 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.70 / $1,614.48 / $2,094.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.26 / $1,309.31 / $1,540.27
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
$829.09 / $1,507.44 / $2,149.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.00 / $1,869.60 / $1,869.60