go back

South Dakota rates for HCPCS 25295

Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.02 / $534.02 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.77 / $911.82 / $1,358.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.44 / $1,399.26 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.58 / $881.90 / $1,055.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00