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South Dakota rates for HCPCS 0202T

Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.35 / $2,073.35 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.28 / $2,073.35 / $2,073.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,356.50 / $3,989.38 / $4,574.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,357.86 / $3,427.44 / $5,357.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.99 / $4,964.24 / $15,811.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,438.96 / $4,089.11 / $5,577.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,089.11 / $4,574.00 / $5,577.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,255.01 / $3,958.02 / $6,205.30