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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
$2,089.30 / $4,365.16 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,089.30 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,388.44 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,981.07 / $15,848.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $5,128.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $6,918.31