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South Dakota rates for HCPCS 25100

Arthrotomy Wrist Joint With Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.77 / $356.77 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.23 / $356.77 / $850.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.23 / $816.50 / $1,020.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.16 / $606.34 / $895.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.80 / $693.08 / $2,760.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.01 / $929.98 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.44 / $742.59 / $942.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.60 / $585.17 / $705.12
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
$363.04 / $718.34 / $960.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.50 / $855.90 / $855.90