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South Dakota rates for HCPCS 64416

Injection Aa&/Strd Brach Plex Cont Nfs Cath Img

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $75.36 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.02 / $128.76 / $325.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.54 / $192.99 / $1,423.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.33 / $131.71 / $175.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00