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South Dakota rates for HCPCS 25301

Tenodesis at wrist; extensors of fingers

Facilitymedian $1,096 · 10th–90th $646–$4,3650%20%10th90th$1,096Professionalmedian $1,072 · 10th–90th $245–$1,3180%10%20%10th90th$1,072$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
$645.65 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,071.52 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,445.44 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $1,288.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $6,760.83