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South Dakota rates for HCPCS 63295

Ostpl Rcnstj Dorsal Spi Elmnts Flwg Ispi Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.70 / $291.70 / $291.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.03 / $516.86 / $856.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.96 / $726.35 / $1,009.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.92 / $566.27 / $645.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00