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South Dakota rates for HCPCS 0656T

Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,036.45 / $2,036.45 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.15 / $2,036.45 / $2,101.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.86 / $3,441.60 / $4,202.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.79 / $4,304.96 / $16,382.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,527.44 / $2,811.63 / $4,056.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.63 / $2,811.63 / $11,142.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.57 / $3,885.07 / $6,043.44