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South Dakota rates for HCPCS 22533

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,365.16 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $3,715.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $3,235.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93