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South Dakota rates for HCPCS 26205

Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.63 / $607.63 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.12 / $607.63 / $1,639.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.33 / $1,382.90 / $1,728.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.02 / $1,026.89 / $1,565.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.37 / $1,215.96 / $5,231.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,496.71 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.88 / $1,302.82 / $1,634.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.01 / $1,021.71 / $1,207.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.92 / $1,158.06 / $1,660.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.50 / $1,465.20 / $1,465.20