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South Dakota rates for HCPCS 22612

Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.14 / $17,453.65 / $17,453.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.97 / $2,518.89 / $4,123.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,809.08 / $4,202.28 / $32,986.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.43 / $2,686.33 / $3,107.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$592.74 / $592.74 / $592.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$592.74 / $592.74 / $592.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00