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South Dakota rates for HCPCS 63304

Vertebral Corpectomy Exc Les 1 Seg Idrl Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.46 / $2,126.46 / $2,126.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.05 / $2,126.46 / $5,628.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,752.60 / $4,884.96 / $6,106.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,613.07 / $3,512.68 / $6,026.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.36 / $4,544.60 / $16,623.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,351.83 / $5,009.08 / $7,281.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,351.83 / $4,904.84 / $6,308.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,900.46 / $4,057.34 / $4,647.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.36 / $4,328.20 / $6,058.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,610.30 / $5,640.90 / $5,640.90