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South Dakota rates for HCPCS 22511

Perq Vertebroplasty Uni/Bi Injection Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.34 / $1,913.49 / $1,913.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.29 / $2,206.66 / $4,228.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.06 / $2,932.27 / $4,242.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.23 / $2,419.04 / $3,352.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00