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South Dakota rates for HCPCS 22522

Percutaneous Vertebroplasty Ea Addl Thrc/Lmbr

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $371.54 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $302.00