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South Dakota rates for HCPCS 01991

Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$323.59 / $354.81 / $380.19
Aetna
Facility/Professional
Professional
Modifier
QY
Low / Median / High Price
$162.18 / $181.97 / $208.93
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$549.54 / $549.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$281.84 / $316.23 / $354.81
Wellmark
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$295.12 / $295.12 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$131.83 / $162.18 / $162.18
Wellmark
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$229.09 / $229.09 / $229.09