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South Dakota rates for HCPCS 22630

Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar;

Facilitymedian $2,630 · 10th–90th $1,479–$5,6230%20%10th90th$2,630Professionalmedian $2,455 · 10th–90th $603–$3,0900%10%20%10th90th$2,455$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,365.16 / $5,623.41
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,951.21 / $44,668.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,467.37 / $3,467.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,630.27 / $3,090.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $54,954.09