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South Dakota rates for HCPCS 26483

Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.10 / $898.10 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.17 / $1,490.01 / $2,147.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.16 / $2,148.96 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.62 / $1,398.06 / $1,703.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$305.25 / $305.25 / $305.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00