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South Dakota rates for HCPCS 63200

Laminectomy Release Tethered Spinal Cord Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.36 / $1,404.36 / $1,404.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.75 / $2,340.30 / $3,923.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.26 / $3,305.20 / $4,703.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.21 / $2,623.08 / $3,072.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00