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South Dakota rates for HCPCS 25118

Synovectomy, extensor tendon sheath, wrist, single compartment;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.17 / $391.17 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.41 / $661.08 / $987.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.99 / $958.62 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.81 / $641.80 / $771.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00