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South Dakota rates for HCPCS 25170

Radical resection of tumor, radius or ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,311.31 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,454.71 / $10,715.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,311.31 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,454.71 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,570.40 / $3,981.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37