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South Dakota rates for HCPCS 22110

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.83 / $1,017.83 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.28 / $1,650.65 / $2,692.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.84 / $2,341.56 / $3,269.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.64 / $1,780.03 / $2,094.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00