go back

South Dakota rates for HCPCS 62305

Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.16 / $284.82 / $1,914.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.32 / $234.11 / $284.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $363.05 / $787.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.54 / $334.78 / $564.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.62 / $567.05 / $2,041.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.87 / $495.52 / $881.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.69 / $397.09 / $632.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.61 / $378.73 / $523.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.02 / $522.76 / $787.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.00 / $285.00 / $636.00