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South Dakota rates for HCPCS 26497

Tr Tdn Restore Intrnsc Funcj Ring&Sm Fngr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.68 / $924.68 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.17 / $924.68 / $2,137.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.84 / $2,059.16 / $2,573.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.22 / $1,545.66 / $2,218.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.90 / $1,756.80 / $6,720.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.33 / $2,227.11 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.33 / $1,771.56 / $2,451.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.10 / $1,449.38 / $1,774.45
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
$853.90 / $1,562.98 / $2,431.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.30 / $2,153.80 / $2,153.80