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South Dakota rates for HCPCS 22514

Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.46 / $4,338.00 / $6,110.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.36 / $742.18 / $9,068.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.48 / $1,650.44 / $15,869.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.09 / $7,011.82 / $15,524.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,149.66 / $15,524.58 / $52,335.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.96 / $8,461.12 / $16,057.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.24 / $10,694.58 / $15,599.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.61 / $8,429.69 / $12,039.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,250.95 / $12,178.15 / $20,559.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.50 / $1,118.90 / $12,579.70