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South Dakota rates for HCPCS 28225

Tenolysis, extensor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.08 / $425.29 / $425.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.05 / $369.47 / $679.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.98 / $775.20 / $1,198.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.00 / $601.00 / $976.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.15 / $978.90 / $3,078.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.40 / $900.29 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.98 / $704.88 / $1,102.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $525.92 / $800.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,489.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.65 / $766.37 / $1,192.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.70 / $638.40 / $971.30