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South Dakota rates for HCPCS 22595

Arthrodesis Posterior Atlas-Axis C1-C2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.80 / $1,433.80 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.31 / $2,423.12 / $3,869.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,189.30 / $3,307.42 / $4,695.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.39 / $2,566.21 / $3,014.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$564.67 / $564.67 / $564.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$564.67 / $564.67 / $564.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00