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South Dakota rates for HCPCS 26040

Fasciotomy Palmar Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.08 / $325.08 / $325.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.31 / $325.08 / $1,137.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.76 / $745.60 / $932.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $536.63 / $805.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.67 / $643.25 / $3,608.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.62 / $831.28 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.68 / $689.20 / $851.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.27 / $523.83 / $638.49
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
$292.06 / $560.02 / $871.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.40 / $775.00 / $775.00