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Muscle-Relaxing Injections Into One Limb, Limited

South Dakota rates for HCPCS 64642

This service delivers injections of a muscle-relaxing medication into a small number of muscles in a single arm or leg, used to ease stiffness or spasticity caused by conditions that overactivate certain muscles. It covers the more limited version of this treatment, addressing fewer muscles than the more extensive version.

Facilitymedian $891 · 10th–90th $105$3,3880%10%10th90th$891Professionalmedian $191 · 10th–90th $100$3550%10%10th90th$191$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$1,348.96
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$316.23
Avera
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$309.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$380.19
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$363.08