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South Dakota rates for HCPCS 25290

Tnot Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.25 / $443.25 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.63 / $761.68 / $1,420.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.67 / $1,158.73 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.21 / $735.61 / $876.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00