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South Dakota rates for HCPCS 63267

Lam Exc/Evac Ispi Lesion Oth/Thn Neo Xdrl Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.70 / $4,937.00 / $12,635.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.73 / $2,175.26 / $3,528.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.94 / $2,995.92 / $4,256.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.80 / $2,333.56 / $2,715.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$512.55 / $512.55 / $512.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$512.55 / $512.55 / $512.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00