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South Dakota rates for HCPCS 25112

Excision Ganglion Wrist Dorsal/Volar Recurrent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.80 / $397.80 / $397.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.39 / $672.28 / $998.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,033.08 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.39 / $649.48 / $787.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00