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South Dakota rates for HCPCS 22855

Removal Anterior Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.41 / $1,059.41 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.39 / $1,790.40 / $2,861.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.98 / $2,453.64 / $3,431.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.21 / $1,877.53 / $2,185.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$414.25 / $414.25 / $414.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00