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South Dakota rates for HCPCS 63101

Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.64 / $2,133.64 / $2,133.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,619.64 / $3,510.86 / $5,976.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,375.55 / $5,067.24 / $7,194.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.72 / $3,956.96 / $4,569.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$872.76 / $872.76 / $872.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00