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South Dakota rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Facilitymedian $263 · 10th–90th $263–$5010%50%90th$263Professionalmedian $263 · 10th–90th $251–$3720%50%10th90th$263$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $263.03 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $707.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $537.03 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $537.03 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25