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South Dakota rates for HCPCS 64416

Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $1,122.02 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $128.82 / $323.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $190.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $134.90 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59