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South Dakota rates for HCPCS 62287

Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.36 / $558.36 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.71 / $558.36 / $1,425.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.15 / $1,377.45 / $1,721.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.65 / $925.09 / $1,524.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.97 / $1,191.56 / $8,224.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.81 / $1,499.91 / $2,229.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.07 / $1,179.83 / $1,521.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.94 / $973.34 / $1,173.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.15 / $1,191.56 / $1,620.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.09 / $1,424.40 / $1,424.40