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South Dakota rates for HCPCS 25290

Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Facilitymedian $759 · 10th–90th $447–$4,3650%20%10th90th$759Professionalmedian $741 · 10th–90th $490–$9550%20%10th90th$741$500.0$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
$446.68 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,000.00 / $1,000.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $741.31 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $6,760.83