go back

South Dakota rates for HCPCS 63077

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.50 / $1,411.50 / $1,411.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.33 / $1,411.50 / $2,755.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.79 / $3,225.47 / $4,031.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.70 / $2,385.44 / $3,896.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.85 / $2,976.35 / $10,708.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $3,350.15 / $4,648.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.00 / $3,134.75 / $4,019.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.22 / $2,510.75 / $2,908.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.85 / $2,577.83 / $4,009.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.70 / $3,474.50 / $3,474.50