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South Dakota rates for HCPCS 25040

Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.84 / $562.84 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.39 / $951.20 / $1,465.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.85 / $1,392.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.64 / $948.58 / $1,115.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00