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South Dakota rates for HCPCS 0220T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.86 / $1,252.86 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.41 / $1,252.86 / $1,297.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.53 / $2,192.32 / $3,554.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.35 / $2,653.84 / $10,113.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.05 / $1,928.07 / $2,504.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.29 / $1,799.42 / $2,232.61
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
$1,454.88 / $2,395.19 / $3,725.85