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South Dakota rates for HCPCS 25075

Exc Tumor Soft Tissue Forearm &/Wrist Subq <3cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.93 / $537.02 / $2,789.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.02 / $457.41 / $1,436.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.15 / $906.68 / $1,482.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.56 / $695.33 / $1,216.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.42 / $1,112.90 / $3,832.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.32 / $1,062.42 / $1,664.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.02 / $835.60 / $1,278.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.84 / $654.47 / $1,003.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.23 / $871.50 / $1,416.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.70 / $765.60 / $1,217.80