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South Dakota rates for HCPCS 26412

Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.82 / $743.82 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.97 / $743.82 / $1,679.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.83 / $1,643.90 / $2,054.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.40 / $1,225.22 / $1,765.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.52 / $1,411.41 / $5,332.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,766.84 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.56 / $1,512.23 / $1,950.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.44 / $1,155.02 / $1,397.95
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
$739.31 / $1,344.20 / $1,922.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.80 / $1,696.80 / $1,696.80