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South Dakota rates for HCPCS 22548

Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,827.27 / $1,827.27 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.33 / $1,827.27 / $4,713.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.45 / $4,128.45 / $5,160.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,397.15 / $3,088.09 / $5,019.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.22 / $3,799.70 / $13,963.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,795.78 / $4,215.32 / $6,083.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,795.78 / $4,085.90 / $5,265.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.02 / $3,374.44 / $3,896.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.32 / $3,618.76 / $5,069.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,865.90 / $4,730.00 / $4,730.00