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South Dakota rates for HCPCS 26025

Drainage Of Palmar Bursa Single Bursa

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.82 / $425.82 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.23 / $719.64 / $1,097.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,041.00 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.72 / $711.02 / $836.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00