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South Dakota rates for HCPCS 22851

Application Intervertebral Biomechanical Device

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $776.25