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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
$892.00 / $892.00 / $892.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.93 / $892.00 / $892.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.00 / $1,507.48 / $10,997.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $1,873.00 / $6,801.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.81 / $1,684.24 / $8,461.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.81 / $1,361.19 / $1,684.24
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
$849.42 / $1,395.59 / $2,629.59