go back

South Dakota rates for HCPCS 25929

Transmetacarpal Amputation Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.30 / $601.30 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.21 / $601.30 / $1,445.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.76 / $1,370.44 / $1,713.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.61 / $989.09 / $1,412.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.78 / $1,157.44 / $4,470.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,482.04 / $2,305.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.13 / $1,187.97 / $1,615.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.05 / $926.73 / $1,195.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.28 / $1,055.65 / $1,642.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $1,451.00 / $1,451.00