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South Dakota rates for HCPCS 63102

Verteb Corpect Lat Xtrcavitary Dcmprn Lmbr 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.73 / $2,115.73 / $2,115.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,590.12 / $3,462.07 / $5,894.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,345.22 / $5,006.58 / $7,009.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,577.17 / $3,865.29 / $4,520.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$850.24 / $850.24 / $850.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00