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South Dakota rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $229 · 10th–90th $229$2290%50%100%$229Professionalmedian $437 · 10th–90th $219$1,0000%10%10th90th$437$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $275.42 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $281.84 / $501.19
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,174.90 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$489.78 / $537.03 / $676.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $630.96 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $288.40 / $616.60
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $354.81 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $812.83 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $371.54 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $436.52 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $912.01 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $354.81 / $616.60
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $489.78 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,047.13 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $489.78 / $489.78
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $562.34 / $562.34