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South Dakota rates for HCPCS 22328

Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.29 / $259.29 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.99 / $443.94 / $732.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.10 / $617.90 / $863.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.53 / $481.72 / $549.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$106.17 / $106.17 / $106.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$106.17 / $106.17 / $106.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00