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South Dakota rates for HCPCS 63057

Transpedicular Dcmprn 1 Seg Ea Thoracic/Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.43 / $289.43 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.68 / $511.36 / $831.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.37 / $705.24 / $987.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.85 / $545.97 / $626.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$119.94 / $119.94 / $119.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00