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South Dakota rates for HCPCS 64450

Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $1,182.71 / $1,254.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $97.82 / $307.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $116.87 / $215.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.46 / $117.76 / $209.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.95 / $176.84 / $1,340.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.78 / $111.68 / $203.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.78 / $129.94 / $203.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.19 / $104.91 / $143.61
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
$66.88 / $137.91 / $214.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $97.40 / $174.30