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South Dakota rates for HCPCS 63042

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.27 / $1,216.27 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.39 / $2,074.16 / $3,359.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,302.50 / $3,430.40 / $8,250.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.33 / $2,194.90 / $2,552.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$484.25 / $484.25 / $484.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$484.25 / $484.25 / $484.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00