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South Dakota rates for HCPCS 61799

Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $645.65 / $660.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26