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South Dakota rates for HCPCS 55860

Expos Prostate Any Approach Insj Radioact Subst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.92 / $785.92 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.91 / $785.92 / $982.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.73 / $1,956.32 / $2,445.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.00 / $1,328.20 / $2,434.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.90 / $1,743.16 / $6,506.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.00 / $2,290.53 / $4,555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.00 / $1,909.73 / $2,316.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.44 / $1,456.88 / $1,697.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.90 / $1,735.62 / $2,438.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.30 / $1,946.20 / $2,024.10