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South Dakota rates for HCPCS 22586

Arthrodesis Presacral Ntrbdy Dsc W/Instrmj L5-S1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.36 / $1,888.36 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.41 / $1,888.36 / $5,843.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,236.32 / $4,266.35 / $5,332.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,158.05 / $3,115.02 / $5,096.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.50 / $3,794.53 / $14,438.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.23 / $4,348.02 / $6,294.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.23 / $3,932.05 / $5,449.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.60 / $3,428.98 / $4,029.54
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
$1,987.61 / $3,613.84 / $5,246.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,997.50 / $4,891.00 / $4,891.00