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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
$266.73 / $266.73 / $266.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.50 / $385.86 / $781.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.98 / $696.69 / $931.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.46 / $519.95 / $589.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00