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South Dakota rates for HCPCS 62290

Injection procedure for discography, each level; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.82 / $358.20 / $6,935.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.25 / $292.88 / $358.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.15 / $440.19 / $982.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.95 / $420.72 / $730.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.60 / $716.01 / $2,554.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.23 / $570.15 / $1,129.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $568.00 / $929.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.15 / $457.24 / $654.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.07 / $561.10 / $1,000.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.30 / $367.50 / $794.60