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South Dakota rates for HCPCS 0274T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral, cervical or thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
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
$851.14 / $1,412.54 / $2,630.27