go back

South Dakota rates for HCPCS 22523

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, 1 vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty); thoracic

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.72 / $1,461.79 / $20,547.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.01 / $1,117.98 / $1,397.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.44 / $2,578.44 / $28,868.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.00 / $8,755.61 / $14,736.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.16 / $707.18 / $712.99