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South Dakota rates for HCPCS 26125

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); each additional digit (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.45 / $260.45 / $3,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.23 / $450.03 / $721.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.11 / $622.17 / $1,285.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.62 / $457.32 / $521.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00