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South Dakota rates for HCPCS 77371

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $8,317.64 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,818.38 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,630.27 / $4,265.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,454.71 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $2,041.74