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South Dakota rates for HCPCS 00630

Anesthesia Lumbar Region Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$741.16 / $741.16 / $741.16
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$1,744.40 / $1,852.20 / $1,852.20
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$617.13 / $727.65 / $771.41
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$666.00 / $666.00 / $666.00
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$519.29 / $519.29 / $519.29