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South Dakota rates for HCPCS 22840

Posterior Non-Segmental Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.30 / $702.30 / $2,433.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.87 / $1,229.44 / $1,979.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.91 / $1,676.99 / $2,333.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.16 / $1,284.58 / $1,464.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$285.69 / $285.69 / $285.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$285.69 / $285.69 / $285.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00