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South Dakota rates for HCPCS 64510

Injection, anesthetic agent; stellate ganglion (cervical sympathetic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $147.91 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $144.54 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $199.53 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $165.96 / $281.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $281.84
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
$93.33 / $177.83 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $338.84