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South Dakota rates for HCPCS 22585

Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.17 / $302.17 / $302.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.92 / $533.85 / $859.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.47 / $725.96 / $1,001.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.57 / $551.51 / $655.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$122.90 / $122.90 / $122.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$122.90 / $122.90 / $122.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00