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South Dakota rates for HCPCS 22861

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,136.76 / $2,136.76 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.23 / $2,136.76 / $6,809.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,698.73 / $4,814.84 / $6,018.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.69 / $3,541.92 / $5,071.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.11 / $3,929.12 / $16,382.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.79 / $4,895.85 / $7,172.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.90 / $4,269.30 / $6,216.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.21 / $3,808.43 / $4,581.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.11 / $3,742.20 / $5,979.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,544.89 / $5,560.80 / $5,560.80