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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
$23.84 / $32.90 / $32.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $83.46 / $210.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.40 / $68.17 / $95.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.71 / $56.14 / $392.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.42 / $195.79 / $1,928.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.93 / $102.18 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $176.59 / $361.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.21 / $54.99 / $247.17
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
$39.07 / $90.77 / $373.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $57.30 / $78.50