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South Dakota rates for HCPCS 63272

Lam Exc Ispi Les Oth/Thn Neo Idrl Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.82 / $1,720.82 / $1,720.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.01 / $2,943.66 / $4,853.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,734.59 / $4,097.85 / $5,805.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,307.13 / $3,229.97 / $3,728.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00