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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
$75.77 / $149.01 / $275.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $125.28 / $208.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $217.17 / $419.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.94 / $198.39 / $332.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.34 / $253.34 / $2,139.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.98 / $305.76 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.86 / $238.37 / $341.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $182.14 / $279.45
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
$139.34 / $220.64 / $392.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $179.80 / $339.20