go back

South Dakota rates for HCPCS 24077

Rad Rescj Tumor Soft Tiss Upper Arm/Elbow <5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.17 / $1,007.17 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.23 / $1,007.17 / $2,444.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.06 / $2,254.71 / $2,818.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.30 / $1,569.74 / $2,672.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.36 / $2,097.08 / $7,519.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.95 / $2,264.90 / $2,896.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.00 / $2,160.19 / $2,719.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.91 / $1,726.68 / $2,013.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.47 / $1,817.39 / $2,827.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.10 / $2,443.50 / $2,443.50