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South Dakota rates for HCPCS 25111

Excision of ganglion, wrist (dorsal or volar); primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,311.31 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $562.34 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $537.03 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53