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South Dakota rates for HCPCS 25031

Incision and drainage, forearm and/or wrist; bursa

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.97 / $374.97 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.54 / $374.97 / $1,004.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.55 / $858.57 / $1,073.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.96 / $638.03 / $944.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.87 / $744.30 / $3,237.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.50 / $946.03 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.53 / $791.83 / $991.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.54 / $616.45 / $741.99
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
$389.87 / $755.62 / $971.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.10 / $900.60 / $900.60