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South Dakota rates for HCPCS 64415

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed

Facilitymedian $1,288 · 10th–90th $135–$7,2440%10%10th90th$1,288Professionalmedian $151 · 10th–90th $65–$8910%5%10%10th90th$151$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,187.76 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $147.91 / $1,023.29
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $138.04 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $199.53 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $891.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $251.19 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $154.88 / $275.42
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $144.54 / $263.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $169.82 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $151.36 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $316.23