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South Dakota rates for HCPCS 63295

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $512.86 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $707.95 / $724.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26