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South Dakota rates for HCPCS 26123

Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.66 / $843.66 / $5,119.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.39 / $1,414.62 / $2,167.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,074.96 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.73 / $1,407.50 / $1,669.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00