go back

South Dakota rates for HCPCS 22843

Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.97 / $754.97 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.91 / $1,319.31 / $2,125.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.39 / $1,801.83 / $2,509.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.09 / $1,392.48 / $1,588.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$307.18 / $307.18 / $307.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$307.18 / $307.18 / $307.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00