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South Dakota rates for HCPCS 22556

Arthrd Ant Interbody Min Dsc Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.43 / $1,591.43 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.92 / $2,689.52 / $4,326.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.39 / $3,693.59 / $5,152.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.48 / $2,834.86 / $3,319.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$625.16 / $625.16 / $625.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00