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South Dakota rates for HCPCS 22868

Insj Stablj Dev W/Dcmprn Lumbar Second Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.60 / $224.60 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.52 / $354.44 / $517.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.15 / $528.39 / $748.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.89 / $407.91 / $469.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$90.85 / $90.85 / $90.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00