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South Dakota rates for HCPCS 58346

Insertion Heyman Capsules Clinical Brachytherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.32 / $464.32 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.63 / $464.32 / $1,275.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.33 / $1,162.42 / $1,453.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.14 / $729.45 / $1,182.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.62 / $1,088.59 / $3,755.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,247.34 / $4,114.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.00 / $1,039.05 / $1,289.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.75 / $764.61 / $980.70
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
$646.52 / $994.64 / $1,344.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.80 / $1,124.40 / $1,169.40