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South Dakota rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.83 / $46.83 / $46.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.13 / $60.27 / $106.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.32 / $44.36 / $149.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.38 / $19.94 / $33.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.70 / $151.26 / $189.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.91 / $106.27 / $132.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.79 / $44.99 / $56.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $117.88 / $147.99
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.58 / $83.86 / $126.56
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.09 / $34.02 / $54.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $146.30 / $172.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $105.59 / $127.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.06 / $74.33 / $89.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.54 / $31.26 / $37.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.08 / $121.16 / $143.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.09 / $83.86 / $127.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.09 / $23.17 / $38.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.40 / $142.80 / $142.80
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.70 / $100.80 / $100.80
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.70 / $42.00 / $42.00