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South Dakota rates for HCPCS 57156

Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $2,884.03 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $309.03 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $354.81 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $323.59 / $562.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $537.03