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South Dakota rates for HCPCS 22856

Total Disc Arthrp Ant Single Interspace Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.11 / $12,735.86 / $12,735.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.39 / $2,553.08 / $4,119.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.00 / $4,319.85 / $32,912.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.27 / $2,714.86 / $3,193.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$613.33 / $613.33 / $613.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $36,780.10