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South Dakota rates for HCPCS 25135

Exc/Curtg Cyst/Tumor Carpal Bones W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.37 / $565.37 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.52 / $565.37 / $1,358.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.31 / $1,291.75 / $1,614.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.39 / $955.48 / $1,450.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $1,139.75 / $4,201.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.36 / $1,392.68 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.08 / $1,156.43 / $1,514.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.63 / $946.79 / $1,124.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.01 / $1,145.76 / $1,542.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.40 / $1,364.70 / $1,364.70