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South Dakota rates for HCPCS 22505

Manipulation Spine Requiring Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.16 / $128.16 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.16 / $128.16 / $378.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.79 / $318.64 / $398.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.85 / $214.11 / $346.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.75 / $270.56 / $1,461.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.36 / $327.71 / $1,969.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.21 / $268.88 / $349.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $225.93 / $296.27
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
$141.72 / $229.07 / $356.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.89 / $359.60 / $359.60