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South Dakota rates for HCPCS 63016

Laminectomy W/O Ffd > 2 Vert Seg Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.28 / $1,407.28 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.22 / $2,363.84 / $3,912.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.96 / $3,316.48 / $4,726.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.55 / $2,590.01 / $3,015.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$571.25 / $571.25 / $571.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00