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South Dakota rates for HCPCS 64418

Injection Aa&/Strd Suprascapular Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.98 / $87.12 / $1,597.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.98 / $84.87 / $146.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.86 / $153.87 / $245.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.13 / $130.60 / $323.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.44 / $226.73 / $1,157.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.62 / $150.79 / $226.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.83 / $174.68 / $263.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.81 / $124.93 / $241.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $1,643.00 / $1,643.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $172.42 / $362.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.50 / $130.30 / $202.60