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South Dakota rates for HCPCS 25274

Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle

Facilitymedian $1,096 · 10th–90th $676–$4,3650%20%10th90th$1,096Professionalmedian $851 · 10th–90th $617–$1,7380%10%10th90th$851$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,548.82 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,122.02 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,202.26 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,513.56 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,122.02 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,122.02 / $1,819.70
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,621.81 / $1,621.81