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South Dakota rates for HCPCS 22800

Arthrodesis Posterior Spinal Dfrm <6 Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.48 / $1,315.48 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.51 / $2,223.16 / $3,515.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.78 / $3,031.78 / $4,201.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.12 / $2,295.28 / $2,700.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$506.26 / $506.26 / $506.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00