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South Dakota rates for HCPCS 25125

Exc/Curtg Cyst/Tumor Radius/Ulna W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.04 / $599.04 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.41 / $599.04 / $1,680.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.17 / $1,365.76 / $1,707.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.11 / $1,035.26 / $1,555.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.48 / $1,217.01 / $5,361.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,433.30 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.64 / $1,337.19 / $1,605.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.96 / $1,011.82 / $1,190.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.48 / $1,159.06 / $1,632.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.80 / $1,444.80 / $1,444.80