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South Dakota rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.51 / $263.51 / $263.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.55 / $263.51 / $263.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.30 / $435.26 / $542.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.47 / $1,819.54 / $1,819.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.29 / $532.48 / $1,367.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.29 / $532.48 / $688.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.00 / $776.00 / $776.00