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South Dakota rates for HCPCS 64421

Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $32.36 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.02 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $56.23 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $229.09 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $218.78 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $70.79 / $338.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $100.00 / $323.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $57.54 / $77.62