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South Dakota rates for HCPCS 26525

Capsulectomy/Capsulotomy Iphal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.39 / $715.39 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.79 / $1,176.38 / $1,653.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,489.90 / $2,020.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.58 / $1,078.93 / $1,338.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00