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South Dakota rates for HCPCS 25028

I&D Forearm&/Wrist Deep Abscess/Hematoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.69 / $717.69 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.45 / $1,027.64 / $1,352.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.27 / $1,583.99 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.73 / $1,002.22 / $1,344.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00