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South Dakota rates for HCPCS 22505

Manipulation of spine requiring anesthesia, any region

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $323.59 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $213.80 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $218.78 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $288.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $245.47 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $363.08