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South Dakota rates for HCPCS 25073

Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $4,365.16 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,380.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,202.26 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,071.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53