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South Dakota rates for HCPCS 22102

Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $768.83 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.69 / $1,269.14 / $2,077.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.16 / $2,076.94 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.62 / $1,316.37 / $1,500.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$302.16 / $302.16 / $302.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00