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South Dakota rates for HCPCS 26170

Excision Tendon Palm Flexor/Extensor Single Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.72 / $416.72 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.60 / $704.26 / $1,054.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.34 / $1,084.23 / $1,969.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.56 / $684.28 / $818.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00