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South Dakota rates for HCPCS 25301

Tenodesis Wrist Extensors Fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.74 / $647.74 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.25 / $1,094.68 / $1,673.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,596.02 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.32 / $1,086.59 / $1,282.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$237.94 / $237.94 / $237.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00