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South Dakota rates for HCPCS 26170

Excision of tendon, palm, flexor or extensor, single, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $3,548.13 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26