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South Dakota rates for HCPCS 77372

Radiation Delivery Stereotactic Cranial Linear

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.29 / $862.29 / $862.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.33 / $2,209.96 / $2,762.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.93 / $1,918.64 / $2,355.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.38 / $2,251.71 / $2,802.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.81 / $1,700.56 / $1,834.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.03 / $1,307.21 / $2,178.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.40 / $2,026.40 / $2,026.40