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South Dakota rates for HCPCS 77263

Therapeutic Radiology Tx Planning Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.42 / $170.42 / $170.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.56 / $170.08 / $566.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.27 / $385.52 / $481.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.93 / $248.89 / $406.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.16 / $312.77 / $460.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.93 / $386.13 / $577.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $380.83 / $443.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.08 / $273.70 / $329.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.44 / $214.89 / $328.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.30 / $369.80 / $369.80