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South Dakota rates for HCPCS 77317

Brachytx Isodose Pln Intermed W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.57 / $98.57 / $98.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $257.01 / $550.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.66 / $768.72 / $960.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.29 / $495.08 / $599.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.67 / $599.64 / $810.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.32 / $483.48 / $633.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.13 / $160.02 / $188.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.05 / $495.08 / $921.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.29 / $709.80 / $709.80