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South Dakota rates for HCPCS 25120

Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.98 / $508.98 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.42 / $872.80 / $1,293.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.01 / $1,331.94 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.54 / $839.43 / $1,005.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22