go back

South Dakota rates for HCPCS 64430

Injection Aa&/Strd Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $99.39 / $99.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $99.39 / $198.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.76 / $172.97 / $281.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.15 / $147.18 / $334.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.13 / $241.84 / $1,087.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.24 / $240.96 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $188.50 / $334.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.73 / $159.38 / $230.92
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
$102.67 / $179.37 / $342.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $129.60 / $230.10