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South Dakota rates for HCPCS 62303

Myelography Via Lumbar Injection Rs&I Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.06 / $268.12 / $268.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.43 / $314.33 / $543.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.47 / $477.82 / $832.20
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.11 / $360.04 / $491.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00