go back

South Dakota rates for HCPCS 22632

Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.75 / $293.75 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.73 / $509.04 / $831.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.41 / $701.60 / $986.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $546.97 / $623.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$120.97 / $120.97 / $120.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$120.97 / $120.97 / $120.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00