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South Dakota rates for HCPCS 63052

Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.13 / $234.13 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.19 / $363.20 / $545.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.08 / $565.49 / $794.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $440.87 / $502.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00