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South Dakota rates for HCPCS 25111

Excision Ganglion Wrist Dorsal/Volar Primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.45 / $2,648.31 / $8,411.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.85 / $563.53 / $827.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.66 / $858.83 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.32 / $539.76 / $657.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00