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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
$752.60 / $828.18 / $1,035.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.04 / $772.80 / $1,058.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,127.76 / $4,127.76 / $4,127.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.00 / $738.00 / $789.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.40 / $695.08 / $784.09