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South Dakota rates for HCPCS 25430

Insertion of vascular pedicle into carpal bone (eg, Hori procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.18 / $732.18 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.61 / $732.18 / $1,763.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.39 / $1,668.05 / $2,085.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.20 / $1,205.14 / $1,904.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.19 / $1,492.70 / $5,449.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.27 / $1,908.37 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.90 / $1,469.12 / $1,968.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.78 / $1,238.92 / $1,457.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.89 / $1,281.50 / $2,006.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.90 / $1,769.10 / $1,769.10