go back

South Dakota rates for HCPCS 62291

Injection procedure for discography, each level; cervical or thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $331.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $354.81 / $645.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $602.56 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $331.13 / $707.95