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South Dakota rates for HCPCS 22867

Insj Stablj Dev W/Dcmprn Lumbar Single Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.06 / $1,027.06 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.21 / $1,480.56 / $2,149.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.00 / $2,596.11 / $33,113.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.79 / $1,777.28 / $2,090.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$363.03 / $363.03 / $363.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00