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South Dakota rates for HCPCS 26352

Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.32 / $861.32 / $861.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.97 / $861.32 / $1,955.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.52 / $1,910.35 / $2,387.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.44 / $1,425.94 / $2,064.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.46 / $1,646.44 / $6,192.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,051.66 / $8,250.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.80 / $1,764.05 / $2,274.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.10 / $1,350.28 / $1,626.95
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
$862.42 / $1,568.04 / $2,266.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.00 / $1,974.80 / $1,974.80