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South Dakota rates for HCPCS 63003

Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.98 / $1,139.98 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.64 / $1,947.92 / $3,186.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.60 / $3,270.64 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.80 / $2,110.19 / $2,453.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$463.53 / $463.53 / $463.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00