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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
$435.42 / $479.15 / $598.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.15 / $374.87 / $469.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,126.00 / $3,126.00 / $3,126.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $428.00 / $460.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.25 / $250.25 / $303.02