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South Dakota rates for HCPCS 26055

Tendon Sheath Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.27 / $3,234.92 / $5,095.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.62 / $621.27 / $4,317.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.75 / $857.98 / $1,708.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.51 / $794.92 / $1,428.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.69 / $1,284.22 / $4,368.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.70 / $1,273.86 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.79 / $834.59 / $1,464.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.89 / $732.34 / $1,139.19
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
$479.16 / $889.28 / $1,542.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.00 / $714.50 / $1,382.70