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South Dakota rates for HCPCS 22865

Rmvl Tot Disc Arthrp Ant 1 Interspace Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,094.15 / $2,094.15 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.50 / $2,094.15 / $5,417.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.50 / $4,726.02 / $5,907.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,553.38 / $3,461.07 / $5,385.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.47 / $4,068.60 / $16,025.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,011.76 / $4,660.72 / $6,999.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,963.00 / $4,124.96 / $6,061.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.26 / $3,509.32 / $4,475.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,999.47 / $3,750.53 / $5,834.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,440.30 / $5,432.80 / $5,432.80