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South Dakota rates for HCPCS 26390

Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.12 / $896.12 / $896.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.06 / $896.12 / $2,069.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.16 / $1,994.50 / $2,493.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.00 / $1,496.77 / $2,143.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.62 / $1,695.46 / $6,509.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,157.13 / $10,441.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.64 / $1,769.00 / $2,378.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.49 / $1,401.01 / $1,718.17
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
$888.10 / $1,614.72 / $2,353.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.50 / $2,085.50 / $2,085.50