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South Dakota rates for HCPCS 0275T

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; lumbar

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.82 / $2,555.98 / $4,497.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.33 / $1,702.78 / $2,648.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.24 / $8,855.54 / $12,731.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.24 / $1,625.24 / $1,625.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.33 / $1,702.78 / $2,648.77