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South Dakota rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.12 / $235.88 / $1,846.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $189.37 / $327.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.29 / $242.49 / $662.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.38 / $281.31 / $481.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $390.20 / $1,998.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.99 / $462.26 / $1,123.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.76 / $280.63 / $520.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $271.91 / $437.30
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
$200.40 / $371.62 / $607.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.60 / $200.20 / $530.79