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South Dakota rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.17 / $2,321.17 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.10 / $3,922.78 / $6,330.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,611.30 / $5,424.63 / $7,503.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,004.72 / $4,109.56 / $4,743.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00