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South Dakota rates for HCPCS 25073

Exc Tumor Sft Tiss Forearm&/Wrist Subfasc 3cm/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.38 / $4,338.00 / $6,083.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.91 / $851.35 / $1,384.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.21 / $1,419.01 / $2,824.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.20 / $907.88 / $1,068.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$197.54 / $197.54 / $197.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00