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South Dakota rates for HCPCS 26373

Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.74 / $906.74 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.86 / $906.74 / $2,168.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.73 / $2,010.86 / $2,513.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.42 / $1,504.13 / $2,128.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.05 / $1,713.47 / $6,898.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.57 / $2,165.89 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.57 / $1,835.87 / $2,406.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.18 / $1,379.78 / $1,720.75
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
$897.53 / $1,713.47 / $2,390.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.10 / $2,088.60 / $2,088.60