go back

South Dakota rates for HCPCS 22855

Removal of anterior instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,365.16 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,778.28 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,187.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$426.58 / $426.58 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32