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South Dakota rates for HCPCS 22842

Posterior Segmental Instrumentation 3-6 Vrt Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.13 / $705.42 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.55 / $1,231.70 / $1,985.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.90 / $1,683.26 / $2,346.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.34 / $1,300.48 / $1,482.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$287.23 / $287.23 / $287.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$287.23 / $287.23 / $287.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00