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South Dakota rates for HCPCS 25130

Excision or curettage of bone cyst or benign tumor of carpal bones;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.32 / $460.32 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.88 / $777.86 / $1,157.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.15 / $1,126.95 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.61 / $751.53 / $908.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $6,489.22