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South Dakota rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $281.84 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $295.12 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $436.52