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South Dakota rates for HCPCS 64402

*Injection, Anesthetic Agent; Facial Nerve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.56 / $217.17 / $398.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $1,017.00 / $1,157.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.37 / $198.37 / $198.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.43 / $198.37 / $244.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.11 / $212.21 / $218.85