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South Dakota rates for HCPCS 63005

Laminectomy W/O Ffd 1/2 Vert Seg Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.74 / $1,112.74 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.21 / $1,885.71 / $3,039.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.69 / $3,170.10 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.90 / $2,032.43 / $2,390.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$443.46 / $443.46 / $443.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00