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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
$169.82 / $323.59 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $295.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $186.21 / $229.09