go back

South Dakota rates for HCPCS 77328

Brachytherapy isodose plan; complex (multiplane isodose plan, volume implant calculations, over 10 sources/ribbons used, special spatial reconstruction, remote afterloading brachytherapy, over 12 sources)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.13 / $589.53 / $736.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.31 / $415.31 / $591.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.80 / $534.00 / $540.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.64 / $346.95 / $416.96