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South Dakota rates for HCPCS 26520

Capsulectomy/Capsulotomy Mtcarphlngl Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.69 / $712.69 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.27 / $1,167.83 / $1,652.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,683.50 / $3,711.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.53 / $1,078.33 / $1,328.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00