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South Dakota rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $2,290.87 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $338.84 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $467.74