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South Dakota rates for HCPCS 25110

Excision Lesion Tendon Sheath Forearm&/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.77 / $354.77 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $599.55 / $882.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.16 / $913.86 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.19 / $575.15 / $696.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00