go back

South Dakota rates for HCPCS 25260

Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.97 / $641.97 / $641.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.38 / $1,098.45 / $1,639.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.31 / $1,656.59 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.07 / $1,064.77 / $1,269.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00