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South Dakota rates for HCPCS 22116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.69 / $129.69 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.20 / $228.07 / $366.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.52 / $311.49 / $435.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.19 / $240.20 / $276.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00