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South Dakota rates for HCPCS 64445

Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.75 / $163.16 / $163.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.18 / $128.43 / $921.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.56 / $201.59 / $452.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.14 / $194.20 / $352.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $313.97 / $1,181.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.90 / $206.44 / $368.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $205.80 / $339.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.18 / $168.23 / $302.75
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
$128.06 / $237.68 / $355.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $169.60 / $367.50