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South Dakota rates for HCPCS 63662

Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.72 / $796.72 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.23 / $1,254.99 / $2,154.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.80 / $2,097.19 / $4,569.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.80 / $1,436.89 / $1,690.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$314.00 / $314.00 / $314.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00