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South Dakota rates for HCPCS 20552

Injection Single/Mlt Trigger Point 1/2 Muscles

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.82 / $561.70 / $1,295.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $49.79 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $102.26 / $149.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $84.31 / $144.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $126.74 / $613.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.85 / $91.18 / $142.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $100.00 / $133.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.57 / $70.51 / $101.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $101.44 / $156.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.60 / $123.30