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South Dakota rates for HCPCS 63053

Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]), during posterior interbody arthrodesis, lumbar; each additional vertebral segment (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $2,290.87 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $302.00 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $446.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83