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South Dakota rates for HCPCS 77310

Teletherapy, isodose plan (whether hand or computer calculated); intermediate (3 or more treatment ports directed to a single area of interest)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.62 / $185.39 / $231.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.35 / $219.35 / $393.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $173.16 / $258.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.07 / $134.83 / $167.17